Individual
LAURA E MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP BC
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 147588 3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117134
MEDICA
MN
01
—
131296
UCARE
MN
01
—
2409707
AMERICAS PPO
MN
01
—
410849339 56001 C210
CHAMPUS
—
05
—
438024000
—
MN
01
—
801S9MB
BCBS
MN
01
—
HP41022
HEALTH PARTNERS
MN
01
—
NA2951040635
PREFERRED ONE
MN
01
—
P00106209
RR MEDICARE
—
Enumeration date
01/10/2006
Last updated
07/15/2020
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