Individual
LAURA L NORDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
405 LAKE ZURICH RD, BARRINGTON, IL 60010-3141
(847) 381-5599
(847) 381-1431
Mailing address
50 S B B KING BLVD STE 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11019182
FL
363LG0600X
Gerontology Nurse Practitioner
209018178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041378196
RN
IL
Enumeration date
09/21/2018
Last updated
06/08/2022
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