Individual ProviderLaura A TuckerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressWest Pavilion 2 Floor, 130 Second Street, Neenah, WI 54956-2753(920) 725-9373PECOS EnrollmentBased on the most recent information from CMS, provider Laura A Tucker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1902892243Provider TypeIndividualFull NameTucker, Laura ACredentialNPGenderFemaleSole ProprietorNoEnumeration Date9/22/2005Last Updated7/8/2007Contact InformationPractice LocationPractice AddressWest Pavilion 2 Floor, 130 Second Street, Neenah, WI 54956-2753Phone(920) 725-9373Fax(920) 720-7392Mailing LocationMailing AddressThe Neuroscience Group Of NE Wi, West Pavilion 2nd Floor, 130 Sencond Street, Neenah, WI 54956-2753Phone(920) 725-9373Fax(920) 720-7392Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2582033Wisconsin