Individual provider · Type 1 NPI
Mary K. Laus, CPNP
Pediatric Nurse Practitioner · Milwaukee, WI
NPI number
1043239262
Active
Practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Fax (414) 266-6837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 132876 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043239262
Mary K. Laus, CPNP's National Provider Identifier is 1043239262, issued on Jul 19, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 28, 2022.