Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Kailey Winkleblack, CRNP

Individual provider Registered Nurse · NPI 1134446552

Laura Kailey Winkleblack, CRNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2009, 17 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona and Pennsylvania.

Years since qualifying
17
Licensed in
AZ, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837
Phone: (602) 839-6040
Fax: (602) 839-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP4521 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 011021 (PA)
Orthopedic Registered Nurse Taxonomy 163WX0800X · Licence RN594783 (PA)

Record details

NPI number1134446552
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 24, 2010
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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