MEDICARE: LAUREN GRACE ARIAS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71014220A	IN

General Provider Information

NPI Number	:	1124802475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN GRACE ARIAS FNP-C

Provider Business Mailing Address
First Line	:	12404 LIMA CROSSING DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-0202
Country	:	US
Telephone Number	:	260-478-4201
Fax Number	:	260-458-3248

Provider Business Practice Location Address
First Line	:	12404 LIMA CROSSING DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-0202
Country	:	US
Telephone Number	:	260-478-4201
Fax Number	:	260-458-3248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2023
Last Update Date	:	02/02/2026

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Directions to “ LAUREN GRACE ARIAS FNP-C” Practice Location

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