MS. CAROLYN SUE LUNDGREN C.P.N.P.
NPI 1083728240
Nurse Practitioner - Pediatrics in Fenton, MO

Active since August 17, 2006
714 GRAVOIS RD, STE. 200, FENTON, MO 63026(636) 349-5437(636) 349-6663 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carolyn Sue Lundgren C.p.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROLYN SUE LUNDGREN C.P.N.P. (NPI 1083728240) is an individual pediatrics provider in Fenton, Missouri, licensed in Missouri (066304) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083728240
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. CAROLYN SUE LUNDGRENCredential: C.P.N.P.
Location Address714 GRAVOIS RD, STE. 200Fenton, MO 63026-7727
Mailing Address714 Gravois Rd, Ste. 200Fenton, MO 63026-7727 · (636) 349-5437 · Fax (636) 349-6663
Fax(636) 349-6663
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083728240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MO · 066304
714 GRAVOIS RD, Fenton, MO 63026

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
714 GRAVOIS RD, STE 220
FENTON, MO 63026
Internal Medicine
714 GRAVOIS RD, SUITE 100
FENTON, MO 63026
Nurse Practitioner (Family)
714 GRAVOIS RD
FENTON, MO 63026
Family Medicine
714 GRAVOIS RD, SUITE 210
FENTON, MO 63026
Obstetrics & Gynecology
714 GRAVOIS RD, STE 115
FENTON, MO 63026
Physician Assistant (Medical)
714 GRAVOIS RD, SUITE 210
FENTON, MO 63026
Nurse Practitioner (Family)
714 GRAVOIS RD
FENTON, MO 63026
Family Medicine
714 GRAVOIS RD, STE 210
FENTON, MO 63026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Lundgren's NPI number?

The NPI number for Carolyn Lundgren is 1083728240. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Carolyn Lundgren located?

Carolyn Lundgren practices at 714 Gravois Rd Ste. 200, Fenton, MO 63026. The listed phone number is (636) 349-5437.

What is Carolyn Lundgren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Carolyn Lundgren was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.