Individual
LAURA KAILEY WINKLEBLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 839-6040
(602) 839-3411
Mailing address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 839-6040
(602) 839-3411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
011021
PA
163WX0800X
Orthopedic Registered Nurse
RN594783
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4521
AZ
Other
Enumeration date
04/24/2010
Last updated
03/07/2025
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