Healthcare Provider Details

I. General information

NPI: 1619465416
Provider Name (Legal Business Name): LAUREN KATHLEEN WOODARD APN-DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DR # 110
NAPERVILLE IL
60540-6508
US

IV. Provider business mailing address

120 SPALDING DR # 110
NAPERVILLE IL
60540-6508
US

V. Phone/Fax

Practice location:
  • Phone: 630-646-2273
  • Fax:
Mailing address:
  • Phone: 630-646-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209017543
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP60878824
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: