Doctor Name: | MS. ANNE CAMPBELL LAUCELLA |
NPI Number: | 1043534225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP60103850 |
Business Practice Address: | 888 Swift Blvd Richland, WA - 99352 |
Business Phone Number: | 5099464611 |
Business Fax Number: | 5099422648 |
Mailing Address: | 560 Gage Blvd, Suite 203 RICHLAND |
State: | WA |
Postal Code: | 99352 |
Phone Number: | 5099423627 |
Fax Number: | 5099422268 |
NPI Enumeration Date: | 03/17/2010 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0005X |
License Number: | AP60103850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal, Critical Care |
Taxonomy Definition: |