| Doctor Name: | LAURA J WILNER |
| NPI Number: | 1093096927 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R181533-3 |
| Business Practice Address: | 803 Belsly Blvd # 2 Moorhead, MN - 565605057 |
| Business Phone Number: | 2182367145 |
| Business Fax Number: | |
| Mailing Address: | 803 Belsly Blvd # 2, MOORHEAD |
| State: | MN |
| Postal Code: | 565605057 |
| Phone Number: | 2182367145 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2011 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | R181533-3 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |