LAURIE A VAN GRINSVEN PA-C
NPI 1366446304
Physician Assistant in Wautoma, WI

Q: What is Laurie Van Grinsven's NPI number?

The NPI number for Laurie Van Grinsven is 1366446304. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Laurie Van Grinsven's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 08, 2005

400 S TOWNLINE RD, WAUTOMA, WI 54982(920) 787-5514(920) 787-4737 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Laurie A Van Grinsven Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE A VAN GRINSVEN PA-C (NPI 1366446304) is an individual physician assistant in Wautoma, Wisconsin, licensed in Wisconsin (938-023) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1366446304

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAURIE A VAN GRINSVENCredential: PA-C

Location Address400 S TOWNLINE RDWautoma, WI 54982

Mailing AddressPo Box 1440Wautoma, WI 54982-1440 · (920) 787-5514 · Fax (920) 787-4737

Phone(920) 787-5514

Fax(920) 787-4737

Sole ProprietorNo

Enumeration DateJune 8, 2005

Last NPPES UpdateAugust 20, 2018

✔ NPI 1366446304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 938-023

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 938-023 (WI)

400 S TOWNLINE RD, Wautoma, WI 54982

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Other Identifiers 3

Medicaid41971000WI

Other521824WI · Medicare A Mobil Unit

Other521823WI · Medicare Part A - Clinic

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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