AMANDA CATHERINE LARES FNP-BC
NPI 1578960464
Nurse Practitioner - Family in Grand Rapids, MI

Active since November 21, 2014
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-1680 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Catherine Lares Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA CATHERINE LARES FNP-BC (NPI 1578960464) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704276338) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1578960464
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA CATHERINE LARESCredential: FNP-BC
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address2537 Momentum PlChicago, IL 60689-5325 · (616) 988-8220 · Fax (616) 285-0846
Sole ProprietorNo
Enumeration DateNovember 21, 2014
NPI 1578960464 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 · 4704276338
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Lares's NPI number?

The NPI number for Amanda Lares is 1578960464. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Amanda Lares located?

Amanda Lares practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1680.

What is Amanda Lares's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Lares was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.