Provider Demographics
NPI:1659367688
Name:MCKAY, ROSLYN DEE (WHNP)
Entity Type:Individual
Prefix:
First Name:ROSLYN
Middle Name:DEE
Last Name:MCKAY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:ROSLYN
Other - Middle Name:DEE
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 LIBERTY DRIVE
Mailing Address - Street 2:MARSHFIELD CLINIC-WITTENBERG CENTER
Mailing Address - City:WITTENBERG
Mailing Address - State:WI
Mailing Address - Zip Code:54499
Mailing Address - Country:US
Mailing Address - Phone:715-253-2119
Mailing Address - Fax:715-253-2498
Practice Address - Street 1:201 LIBERTY DRIVE
Practice Address - Street 2:MARSHFIELD CLINIC-WITTENBERG CENTER
Practice Address - City:WITTENBERG
Practice Address - State:WI
Practice Address - Zip Code:54499
Practice Address - Country:US
Practice Address - Phone:715-253-2119
Practice Address - Fax:715-253-2498
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101834030363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health