Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CAROLYN SUE LUNDGREN, C.P.N.P.
ActiveMS. CAROLYN SUE LUNDGREN, C.P.N.P. is a Pediatric Nurse Practitioner healthcare provider located in FENTON, Missouri. NPI 1083728240 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · FENTON, MO
Registration Details
- NPI Number
- 1083728240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2006 (19.950609450542 yrs)
- Last Updated
- Jul 8, 2007
- License
-
066304 (MO)
Practice Information
- Address
-
714 GRAVOIS RDSTE. 200FENTON, MO, 630267727Browse MO providers · Browse ZIP 63026
- Phone
- 6363495437
- Fax
- 6363496663
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in FENTON, MO
| Name | Credential | NPI |
|---|---|---|
| MISS AMANDA NICOLE BREEDLOVE | PNP | 1235486952 |
| JENNIFER SOUTHWARD | CPNP | 1790100089 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.