| Lauren Fanion, NP | |
|
3111 Electric Ave, Port Huron, MI 48060-8127 | |
| (810) 985-8900 | |
| Not Available |
| Full Name | Lauren Fanion |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3111 Electric Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538790373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704346693 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704346693 (Michigan) | Primary |
| Entity Name | St Clair County Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Fanion, NP 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 985-8900 | Lauren Fanion, NP 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 985-8900 |
Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Justine Schrader, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200 | |
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669 | |
Carol Lydia Wiediger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148 | |
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898 | |
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120 |