Healthcare Provider Details

I. General information

NPI: 1740453539
Provider Name (Legal Business Name): LAURA JEAN ENSLEY-EDDY M.S.N., F.N.P.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 SW CORPORATE VW
TOPEKA KS
66615-1244
US

IV. Provider business mailing address

601 SW CORPORATE VW
TOPEKA KS
66615-1244
US

V. Phone/Fax

Practice location:
  • Phone: 785-234-0880
  • Fax:
Mailing address:
  • Phone: 785-234-0880
  • Fax: 785-234-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number46804
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number46804
License Number StateWY
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number44397
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: