Individual provider · Type 1 NPI

Lauren Elaine Petry, NP

Nurse Practitioner · Springfield, MO

NPI number 1447702212 Active

Practice location

1423 N Jefferson Ave Ste K100
Springfield, MO 65802-1917

Fax (417) 269-3913

Mailing address

PO Box 4046
Springfield, MO 65808-4046

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2007034599 (MO)
Nurse Practitioner Primary 363L00000X2017008465 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1447702212

Lauren Elaine Petry, NP's National Provider Identifier is 1447702212, issued on Oct 27, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, MO. The record was last updated on May 14, 2019.