Provider Demographics
NPI:1255171500
Name:MEHRKENS, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MEHRKENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 GRAND AVE APT 1F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3667
Mailing Address - Country:US
Mailing Address - Phone:206-915-5565
Mailing Address - Fax:
Practice Address - Street 1:597 GRAND AVE APT 1F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3667
Practice Address - Country:US
Practice Address - Phone:206-915-5565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula