Individual provider · Type 1 NPI

Laura L. Brandenburg, FNP

Family Nurse Practitioner · Alton, IL

NPI number 1114460995 Active

Practice location

4 Memorial Dr, Ste 230B
Alton, IL 62002-6751

Fax (618) 463-7767

Mailing address

670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209003963 (IL)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1114460995

Laura L. Brandenburg, FNP's National Provider Identifier is 1114460995, issued on Nov 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Alton, IL. The record was last updated on Nov 28, 2016.