Female

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)

Code

363LF0000X
163W00000X

Primary Taxonomy

Yes
No

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

Provider Address

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