LAURA L BRANDENBURG FNP
NPI 1114460995
Nurse Practitioner - Family in Alton, IL

Active since November 28, 2016
4 MEMORIAL DR, STE 230B, ALTON, IL 62002(618) 463-7777(618) 463-7767 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura L Brandenburg Fnp NPPES

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

LAURA L BRANDENBURG FNP (NPI 1114460995) is an individual family provider in Alton, Illinois, licensed in Illinois (209003963) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1114460995
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA L BRANDENBURGCredential: FNP
Location Address4 MEMORIAL DR, STE 230BAlton, IL 62002-6751
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (618) 463-7777 · Fax (618) 463-7767
Fax(618) 463-7767
Sole ProprietorNo
Enumeration DateNovember 28, 2016
NPI 1114460995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209003963
4 MEMORIAL DR, Alton, IL 62002

Other Names 1

Former Name (1)Laura L Huddleston

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
4 MEMORIAL DR, STE 134
ALTON, IL 62002
Family Medicine
4 MEMORIAL DR, STE 230
ALTON, IL 62002
Physician Assistant
4 MEMORIAL DR, STE 130B
ALTON, IL 62002
Physician Assistant
4 MEMORIAL DR, STE 130B
ALTON, IL 62002
Physician Assistant
4 MEMORIAL DR, STE 130B
ALTON, IL 62002
Surgery
4 MEMORIAL DR, STE 230
ALTON, IL 62002
Orthopaedic Surgery
4 MEMORIAL DR, STE 130B
ALTON, IL 62002
Family Medicine
4 MEMORIAL DR, STE 230
ALTON, IL 62002

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 Laura Brandenburg's NPI number?

The NPI number for Laura Brandenburg is 1114460995. It was assigned to this individual provider in the NPPES registry on November 28, 2016. The provider is also known as Laura L Huddleston.

Where is Laura Brandenburg located?

Laura Brandenburg practices at 4 Memorial Dr Ste 230B, Alton, IL 62002. The listed phone number is (618) 463-7777.

What is Laura Brandenburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Laura Brandenburg was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.