Doctor Name: | LAUREL ANNE NAMAN |
NPI Number: | 1386689792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30002319 |
Business Practice Address: | 106 S Whitcomb Ave Tonasket, WA - 988559286 |
Business Phone Number: | 5094860114 |
Business Fax Number: | 5094860170 |
Mailing Address: | Po Box 1340, OKANOGAN |
State: | WA |
Postal Code: | 988401340 |
Phone Number: | 5094860114 |
Fax Number: | 5094860170 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30002319 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |