MEDICARE: MS. LAURA ANN MCGINTY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	2015020567	MO

General Provider Information

NPI Number	:	1265801260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA ANN MCGINTY FNP

Provider Business Mailing Address
First Line	:	PO BOX 7412011
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-2011
Country	:	US
Telephone Number	:	314-454-6095
Fax Number	:	314-884-6008

Provider Business Practice Location Address
First Line	:	1 CHILDRENS PL
Second Line	:	DIV PED CARDIOLOGY
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1002
Country	:	US
Telephone Number	:	314-454-6095
Fax Number	:	314-884-6008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2015
Last Update Date	:	04/03/2026

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