Wellformed AI

NPI 1487314316 · live from the CMS NPI Registry

Lauren Burke, CPNP

Nurse Practitioner, Pediatrics in Saint Louis, MO. National Provider Identifier 1487314316, active.

NPI record

NPI1487314316 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1465 S Grand Blvd, Saint Louis, MO 63104
Practice phone314-268-4150
Mailing address511 Ashland Ave, Warrenton, MO 63383
EnumeratedDecember 20, 2021
Last updatedJanuary 27, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X2021021447 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.