LAUREN VACHON AGNP-C
NPI 1508508953
Nurse Practitioner - Family in Grand Rapids, MI
Active since April 07, 2022
About Lauren Vachon Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN VACHON AGNP-C (NPI 1508508953) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (1518019223) and active in the NPI registry since April 2022.
NPPES Registry Identity
NPI1508508953
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN VACHONCredential: AGNP-C
Location Address72 SHELDON AVE SEGrand Rapids, MI 49503-4234
Mailing Address5073 Wallingford Dr NwComstock Park, MI 49321-9314 · (313) 269-5961
Phone(616) 331-9830
Fax(616) 331-9831
Sole ProprietorYes
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1508508953 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 1518019223
72 SHELDON AVE SE, Grand Rapids, MI 49503
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Rehabilitation, Substance Use Disorder)
72 SHELDON AVE SE
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Nurse Practitioner (Psychiatric/Mental Health)
72 SHELDON AVE SE
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Nurse Practitioner (Psychiatric/Mental Health)
72 SHELDON AVE SE
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508508953, enumerated as an "individual" on April 07, 2022.
The provider is located at 72 SHELDON AVE SE GRAND RAPIDS, MI 49503 and the phone number is (616) 331-9830.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
