Lauren Jean Carpenter, NP
Nurse Practitioner, Family in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1336733641
StatusActive
Last updated in NPPESMar 11, 2022
Details
- NPI
- 1336733641
- Entity type
- Individual (NPI-1)
- Name
- Lauren Jean Carpenter
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2021
- Certification date
- Mar 11, 2022
- Last updated
- Mar 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704313798 | MI | Yes |
Practice location
426 Michigan St NeGrand Rapids, MI 49503-5609
Phone 616-267-7888
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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