Provider Demographics
NPI:1144784026
Name:HUSZLA, LAURA L (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:HUSZLA
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 FRONT ST STE B
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-5527
Mailing Address - Country:US
Mailing Address - Phone:815-322-1585
Mailing Address - Fax:
Practice Address - Street 1:409 FRONT ST
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-5527
Practice Address - Country:US
Practice Address - Phone:815-322-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-018570363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily