Laura Ely
Family Nurse Practitioner in Othello, WA(View on Map)
Full Name
Laura Ely
NPI Number
1003263872
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/20/2016
Specialties
(Taxonomies)Licenses
State
Washington
Washington
License Number
AP60698848
RN00124067
Contact
Information
Purpose
Mailing
Location
Address
1515 E COLUMBIA ST
1515 E COLUMBIA ST
City
Othello
Othello
State
WA
WA
Postal Code
99344-1846
99344-1846
Country
US
US
Telephone Number
(509) 488-5256
(509) 488-5256
Identifiers
Identifier
2068095
Identifier State
WA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/17/2020