Lynn Eberts Fagerman PNP

NPI 1073553194 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1073553194
Gender Female
Enumeration Date 06/07/2006
Last Updated 03/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
426 MICHIGAN ST NE
SUITE 102
GRAND RAPIDS MI, 49503-5623, US
Phone (616) 391-2957
Fax (616) 391-3950
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Michigan
License Number 4704123571
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According to our database, Lynn Eberts Fagerman PNP NPI is 1073553194, taxonomy code is 363LP0200X and license number is 4704123571, license state is located at Michigan. Lynn Eberts Fagerman PNP physically located at 426 Michigan St Ne, Grand Rapids MI, 49503-5623. NPI Number Lynn Eberts Fagerman PNP has the Individual type.

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1073553194 NPI number is provided on an as is basis without warranty of any kind. 1073553194 is maintained by the National Plan & Provider Enumeration System. The contents of Lynn Eberts Fagerman PNP are for informational purposes only.