Individual
MRS. LAURIE B.D. BENKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC, WAUKESHA, WI 53186-2939
(262) 532-5800
(262) 532-5760
Mailing address
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC, WAUKESHA, WI 53186-2939
(262) 532-5800
(262) 532-5760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94365-03
WI
363LF0000X
Family Nurse Practitioner
Primary
4223-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275831513
—
WI
Enumeration date
03/10/2011
Last updated
01/22/2013
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