Healthcare Provider Details

I. General information

NPI: 1003612771
Provider Name (Legal Business Name): LAUREN NICOLE VOGEL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 W JOHNSTOWN RD STE 107
GAHANNA OH
43230-2887
US

IV. Provider business mailing address

261 W JOHNSTOWN RD STE 107
GAHANNA OH
43230-2887
US

V. Phone/Fax

Practice location:
  • Phone: 614-619-1227
  • Fax:
Mailing address:
  • Phone: 614-619-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0041047
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: