Healthcare Provider Details

I. General information

NPI: 1376786541
Provider Name (Legal Business Name): LAUREN BRIGGS ROBINSON PNPAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN LUANN BRIGGS PNP

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14555 W NATIONAL AVE
NEW BERLIN WI
53151-4494
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 262-693-4312
  • Fax:
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number16581-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number202215
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: