Individual provider · Type 1 NPI

Lauren Kathryn Sidwell, FNP-BC

Family Nurse Practitioner · Maryville, IL

NPI number 1720629470 Active

Practice location

6812 State Route 162 Ste 200
Maryville, IL 62062-8562

Call (618) 288-0900 Map

Mailing address

12855 N 40 Dr Ste 375
St. Louis, MO 63141-8657

Other practice locations

  • 12855 N 40 Dr Ste 375, St. Louis, MO 63141-8657 · (314) 567-6071

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209018891 (IL)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1720629470

Lauren Kathryn Sidwell, FNP-BC's National Provider Identifier is 1720629470, issued on Oct 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, IL. The record was last updated on Oct 3, 2019.