Provider Demographics
NPI:1376055723
Name:KREMER, LAURA SHERI (AGPCNP-C)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:SHERI
Last Name:KREMER
Suffix:
Gender:F
Credentials:AGPCNP-C
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Mailing Address - Street 1:39475 LEWIS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2980
Mailing Address - Country:US
Mailing Address - Phone:248-301-3900
Mailing Address - Fax:248-800-3310
Practice Address - Street 1:39475 LEWIS DR STE 150
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2980
Practice Address - Country:US
Practice Address - Phone:248-301-3900
Practice Address - Fax:248-800-3310
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704270529363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology