| Mynp Professionals, Llc | |
|
5050 W Brown Deer Rd Brown Deer WI 53223-2424 | |
| (414) 874-5000 | |
| (414) 433-1852 |
| Full Name | Mynp Professionals, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5050 W Brown Deer Rd, Brown Deer, Wisconsin |
| Authorized Official Name and Position | Rosalyn Lakey Mcfarland (CEO/NP) |
| Authorized Official Contact | 4148745000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mynp Professionals, Llc 5050 W Brown Deer Rd Brown Deer WI 53223-2424 Ph: (414) 308-9468 | Mynp Professionals, Llc 5050 W Brown Deer Rd Brown Deer WI 53223-2424 Ph: (414) 874-5000 |
| NPI Number | 1285173559 |
|---|---|
| Provider Enumeration Date | 02/19/2017 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 8123395688 |
|---|---|
| Medicare Enrollment ID | O20170605001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285173559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rosalyn Lakey Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821245028 PECOS PAC ID: 0547320962 Enrollment ID: I20081114000636 |
| Provider Name | Clarissa M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194292268 PECOS PAC ID: 7911249719 Enrollment ID: I20190426000999 |
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