Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lynn Eberts Fagerman, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1073553194

Lynn Eberts Fagerman, PNP is a Pediatric Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

426 Michigan St NE Ste 102
Grand Rapids, MI 49503-5623
Phone: (616) 391-2957
Fax: (616) 391-3950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704123571 (MI)

Record details

NPI number1073553194
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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