Provider Demographics
NPI:1972177095
Name:LAURA MCCLESKEY CFNP
Entity Type:Organization
Organization Name:LAURA MCCLESKEY CFNP
Other - Org Name:LAURA'S PRIMARY AND RAPID CARE CLINIC, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLESKY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:505-306-2293
Mailing Address - Street 1:3751 SOUTHERN BLVD SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2084
Mailing Address - Country:US
Mailing Address - Phone:505-962-8503
Mailing Address - Fax:505-962-8724
Practice Address - Street 1:3751 SOUTHERN BLVD SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2084
Practice Address - Country:US
Practice Address - Phone:505-962-8503
Practice Address - Fax:505-962-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty