Provider Demographics
NPI:1992514368
Name:PIFER, LAUREN (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PIFER
Suffix:
Gender:
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 VINCENNES RD STE 303
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3030
Mailing Address - Country:US
Mailing Address - Phone:317-374-0233
Mailing Address - Fax:317-981-1745
Practice Address - Street 1:3905 VINCENNES RD STE 303
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-3030
Practice Address - Country:US
Practice Address - Phone:317-374-0233
Practice Address - Fax:317-981-1745
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71016167A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health