Brandenburg, Laura L

Brandenburg, Laura L is an individual health care provider with primary practice located at 4 Memorial Dr Ste 230B, Alton IL 62002-6751. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brandenburg, Laura L can be contacted via phone (618) 463-7777.

Contact Information

Primary practice address
4 Memorial Dr Ste 230B Alton IL 62002-6751
Fax: (618) 463-7767
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209003963 Illinois

Profile Details

NPI number 1114460995
LBN Legal business name Brandenburg, Laura L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2016
Last updated Nov 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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