Provider Demographics
NPI:1962647891
Name:LAMPING, BRENDA L (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:L
Last Name:LAMPING
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:BRENDA
Other - Middle Name:L
Other - Last Name:WARBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 N WALL ST STE 206
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-2949
Mailing Address - Country:US
Mailing Address - Phone:815-935-7260
Mailing Address - Fax:815-936-7378
Practice Address - Street 1:401 N WALL ST STE 206
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-2949
Practice Address - Country:US
Practice Address - Phone:815-935-7260
Practice Address - Fax:815-936-7378
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS46089363LF0000X
MO2011009871363LF0000X
IL209013532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS46089OtherLICENSE