Healthcare Provider Details

I. General information

NPI: 1336756634
Provider Name (Legal Business Name): LAURA LYNN WEPPLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2020
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 S BROADWAY
LORAIN OH
44053-3891
US

IV. Provider business mailing address

6140 S BROADWAY
LORAIN OH
44053-3891
US

V. Phone/Fax

Practice location:
  • Phone: 440-233-7232
  • Fax:
Mailing address:
  • Phone: 440-233-7232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0038327
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.453267
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: