Mrs. Laurie Ann Mckenna
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
104 Main St
Queensbury
, New York 12804-4055
Mrs. Laurie Ann Mckenna
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
104 Main St
Queensbury
, New York 12804-4055
(518) 223-0812
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Laurie Ann Mckenna
- 104 Main St
- Queensbury, NY
- Zip : 12804-4055
- Phone : (518) 223-0812
Second Address
- Mrs. Laurie Ann Mckenna
- 104 Main St
- Queensbury, NY
- Zip : 12804-4055
- Phone : (518) 223-0812
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Is Mrs. Laurie Ann Mckenna a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 33-331707 | NY |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 40-401097 | NY |
National Provider Identifier
| NPI | 1013209543 |
|---|---|
| Provider Name | Mrs. Laurie Ann Mckenna |
| First Address | Queensbury, NY 12804-4055 |
| Second Address | Queensbury, NY 12804-4055 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2011 |
| Last Update Date | 02/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.