ROBYN W LAURITSEN APNP NPI 1164045092

NPI Information

NPI: 1164045092
Provider Name: ROBYN W LAURITSEN, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
744 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 445-7222
Get Directions

Robyn W Lauritsen, APNP is a family nurse practitioner in Green Bay, WI. Robyn W Lauritsen, APNP NPI is 1164045092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

744 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301-505
Phone: (920) 445-7222
Fax: (920) 445-7289

The NPI 1164045092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2020 and was last updated on 7/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		193403-30	WISCONSIN	No
2	363LF0000X	Nurse Practitioner	Family	10179-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2020003466	OTHER		AMERICAN NURSES CREDENTIALING CENTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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