Withorne-Maloney, Laura R
Withorne-Maloney, Laura R is an individual health care provider with primary practice located at 4400 W 69Th St Ste 500, Sioux Falls SD 57108-8170. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Withorne-Maloney, Laura R can be contacted via phone (605) 322-7580.Contact Information
Primary practice address
4400 W 69Th St Ste 500
Sioux Falls SD 57108-8170
Phone: (605) 322-7580
Fax: (605) 322-7579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP000224 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CP000224 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 0224 | South Dakota |
Profile Details
| NPI number | 1255303707 |
|---|---|
| LBN Legal business name | Withorne-Maloney, Laura R |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Dec 11th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255303707 | NPPES |
| South Dakota | Other | 0007942 | BLUE CROSS |
| South Dakota | MEDICAID | 1908517 | BLUE CROSS |
| South Dakota | Other | 48D58WI | BLUE CROSS |
| South Dakota | MEDICAID | 6826062 | BLUE CROSS |
| South Dakota | Other | 769191017347 | BLUE CROSS |
| South Dakota | Other | 797890 | BLUE CROSS |
| South Dakota | Other | 92411422904 | BLUE CROSS |
| South Dakota | Other | 9237794 | BLUE CROSS |
| South Dakota | Other | HP31902 | BLUE CROSS |
| South Dakota | Other | 25457 | BLUE CROSS |
| South Dakota | MEDICAID | 393603100 | BLUE CROSS |
| South Dakota | Other | 151768 | BLUE CROSS |
| South Dakota | Other | 22358 | BLUE CROSS |
| South Dakota | MEDICAID | 46022474340 | BLUE CROSS |
| South Dakota | Other | P00146949 | BLUE CROSS |
| South Dakota | MEDICAID | 12242 | BLUE CROSS |
| South Dakota | Other | 57108D008 | BLUE CROSS |
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