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Mrs. Lauren Kathryn Sidwell, FNP-BC
Family Nurse Practitioner in Maryville, Illinois
NPI 1720629470

Lauren Kathryn Sidwell is a Family Nurse Practitioner based in Saint Louis, IL and is specialized in Family. Lauren Kathryn Sidwell practices in Maryville, IL and has the professional credentials of FNP-BC. The NPI Number for Lauren Kathryn Sidwell is 1720629470 and holds a License No. 209018891 (Illinois).

The current practice location address for Lauren Kathryn Sidwell is 6812 State Route 162 Ste 200, Maryville, IL and can be reached out via phone at 618-288-0900.

Location: 6812 State Route 162 Ste 200, Maryville, IL, 63141-8657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720629470
Provider Name
Lauren Kathryn Sidwell
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
6812 State Route 162 Ste 200, Maryville, IL, 63141-8657
Phone Number
618-288-0900
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6812 State Route 162 Ste 200
City
Maryville
State
Illinois
Zip
62062-8562
Phone Number
618-288-0900
Fax Number
person
Provider Business Mailing Address Details
Address
6812 State Route 162 Ste 200
City
Maryville
State
Illinois
Zip
62062-8562
Phone Number
618-288-0900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209018891 (Illinois)
Definition
Definition to come...
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