Provider Demographics
NPI:1750919478
Name:GAHIMER, LAUREN KATHERINE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:KATHERINE
Last Name:GAHIMER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2991 HIGHWAY K
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7862
Mailing Address - Country:US
Mailing Address - Phone:636-435-2333
Mailing Address - Fax:314-626-8009
Practice Address - Street 1:2991 HIGHWAY K
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7862
Practice Address - Country:US
Practice Address - Phone:636-435-2333
Practice Address - Fax:314-626-8009
Is Sole Proprietor?:No
Enumeration Date:2020-03-29
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020010047163W00000X
IN28225665A163W00000X
MO2020024189363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse