Provider Demographics
NPI:1063595916
Name:AKERS, LAUREN R (ARNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:AKERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:J
Other - Last Name:AKERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2209 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-4922
Mailing Address - Country:US
Mailing Address - Phone:253-593-0232
Mailing Address - Fax:253-593-3311
Practice Address - Street 1:2209 E 32ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4922
Practice Address - Country:US
Practice Address - Phone:253-593-0232
Practice Address - Fax:253-593-3311
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003336363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1001657Medicaid
WA1001657Medicaid
WAG8893677Medicare PIN