Healthcare Provider Details

I. General information

NPI: 1992514368
Provider Name (Legal Business Name): LAUREN PIFER APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 VINCENNES RD STE 303
INDIANAPOLIS IN
46268-3030
US

IV. Provider business mailing address

3905 VINCENNES RD STE 303
INDIANAPOLIS IN
46268-3030
US

V. Phone/Fax

Practice location:
  • Phone: 317-374-0233
  • Fax: 317-981-1745
Mailing address:
  • Phone: 317-374-0233
  • Fax: 317-981-1745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71016167A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: