Individual provider · Type 1 NPI

Lauretta Pearson Wegman, FNP-C

Nurse Practitioner · Lake St. Louis, MO

NPI number 1912671637 Active

Practice location

400 Medical Plz Ste 10
Lake St. Louis, MO 63367-1432

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 1225 S Grand Blvd, St. Louis, MO 63104-1016 · (314) 977-4440
  • 400 Medical Plz Ste 100, Lake St. Louis, MO 63367-1493 · (636) 639-8600
  • 3440 De Paul Ln Ste 110A, Bridgeton, MO 63044-3546 · (314) 209-5225

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2021026157 (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 1912671637

Lauretta Pearson Wegman, FNP-C's National Provider Identifier is 1912671637, issued on Aug 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Dec 18, 2024.