Basic Information
| Provider Information | |||||||||
| NPI: | 1861917106 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NORRENBERNS | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CPNP-PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2900 FRANK SCOTT PKWY W STE 950 | ||||||||
| Address2: | |||||||||
| City: | BELLEVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 622235010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6182333205 | ||||||||
| FaxNumber: | 6182331407 | ||||||||
| Practice Location | |||||||||
| Address1: | 2900 FRANK SCOTT PKWY W STE 950 | ||||||||
| Address2: | |||||||||
| City: | BELLEVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 622235010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6182333205 | ||||||||
| FaxNumber: | 6182331407 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2017 | ||||||||
| LastUpdateDate: | 05/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 209016025 | IL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.