person
Lynn Eberts Fagerman, PNP
Pediatric Nurse Practitioner in Grand Rapids, Michigan
NPI 1073553194

Lynn Eberts Fagerman is a Pediatric Nurse Practitioner based in Grand Rapids, MI and is specialized in Pediatrics. Lynn Eberts Fagerman practices in Grand Rapids, MI and has the professional credentials of PNP. The NPI Number for Lynn Eberts Fagerman is 1073553194 and holds a License No. 4704123571 (Michigan).

The current practice location address for Lynn Eberts Fagerman is 426 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-391-2957 and via fax at 616-391-3950.

Location: 426 Michigan St Ne, Grand Rapids, MI, 49503-2560
person
Provider Profile Details
NPI Number
1073553194
Provider Name
Lynn Eberts Fagerman
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
426 Michigan St Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-391-2957
Fax Number
616-391-3950
Provider Enumeration Date
06/07/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
4493574 05 MI
5008700690 01 MI BCBS PIN
500D111300 01 MI BCBS GROUP
institution
Provider Business Practice Location Address Details
Address
426 Michigan St Ne
City
State
Zip
49503-5623
Phone Number
616-391-2957
Fax Number
616-391-3950
person
Provider Business Mailing Address Details
Address
426 Michigan St Ne
City
State
Zip
49503-5623
Phone Number
616-391-2957
Fax Number
616-391-3950
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704123571 (Michigan)
Definition
Definition to come...
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