Individual
ROBYN W LAURITSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2575 E EVERGREEN DR, APPLETON, WI 54913-8910
(920) 404-2240
Mailing address
2575 E EVERGREEN DR, APPLETON, WI 54913-8910
(920) 404-2240
(920) 404-2229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193403-30
WI
363LF0000X
Family Nurse Practitioner
Primary
10179-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020003466
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
05/27/2020
Last updated
12/03/2025
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