Mckinnis, Laura

Mckinnis, Laura is an individual health care provider with primary practice located at 1505 Wisconsin Ave Ste 150 , Grafton WI 53024-2075. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mckinnis, Laura can be contacted via phone (262) 421-8961.

Contact Information

Primary practice address
1505 Wisconsin Ave Ste 150 Grafton WI 53024-2075
Phone: (262) 421-8961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X 3279-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3279-33 Wisconsin

Profile Details

NPI number 1497931943
LBN Legal business name Mckinnis, Laura
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated May 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497931943 NPPES
Wisconsin Other N/A N/A
Wisconsin MEDICAID 360599200 N/A

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