Individual
MS. LAURA CARLISLE HUENINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
621 S MAIN ST STE 100, REIDSVILLE, NC 27320-5034
(336) 951-6460
(336) 348-6727
Mailing address
300 E WENDOVER AVE, GREENSBORO, NC 27401-1229
(336) 663-5205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021409
NC
363LP2300X
Primary Care Nurse Practitioner
RN168244
GA
Other
Enumeration date
04/22/2008
Last updated
02/07/2025
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