Petrino, Layne K

Petrino, Layne K is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Petrino, Layne K can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9237035 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9575-33 Wisconsin

Profile Details

NPI number 1295912996
LBN Legal business name Petrino, Layne K
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Sep 10th, 2019 - about 5 years ago

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 1295912996 NPPES
Georgia MEDICAID 039256068B
Georgia MEDICAID 0004354-00

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