Individual
LAURA R WEINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP-BC
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
152998
WI
363L00000X
Nurse Practitioner
Primary
13502
WI
363LF0000X
Family Nurse Practitioner
13502-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232483
—
WI
Enumeration date
10/11/2022
Last updated
07/19/2023
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