| Laura E Mckinzie, NP | |
|
6812 State Route 162, Suite 21, Maryville, IL 62062-8553 | |
| (618) 288-7855 | |
| (618) 288-7866 |
| Full Name | Laura E Mckinzie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 6812 State Route 162, Maryville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922348002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209-010209 (Illinois) | Primary |
| Entity Name | Musick Dermatology & Advanced Clinical Spa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922260587 PECOS PAC ID: 3577636604 Enrollment ID: O20080722000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura E Mckinzie, NP 4955 S State Route 159, Unit 1, Glen Carbon, IL 62034-1907 Ph: (618) 288-7855 | Laura E Mckinzie, NP 6812 State Route 162, Suite 21, Maryville, IL 62062-8553 Ph: (618) 288-7855 |
Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 | |
Mrs. Christie Marie Keen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461 | |
Mrs. Joann Marie Wilson, RN, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-288-6722 Fax: 618-288-2077 | |
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr Ste 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418 | |
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 | |
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 |