MEDICARE: LAUREN PATRICIA BRUMBAUGH FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704400284	PA
2	363LF0000X	Family Nurse Practitioner	4704400284	MI

General Provider Information

NPI Number	:	1326869942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN PATRICIA BRUMBAUGH FNP-C

Provider Business Mailing Address
First Line	:	2633 N WILSON AVE
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-4226
Country	:	US
Telephone Number	:	716-863-7153
Fax Number	:

Provider Business Practice Location Address
First Line	:	1042 PENNSBURY BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-1634
Country	:	US
Telephone Number	:	716-863-7153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	05/29/2026

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Directions to “ LAUREN PATRICIA BRUMBAUGH FNP-C” Practice Location

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