Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP60399137 | WA |
NPI | 1073945606 |
---|---|
Provider Name | Laura Elizabeth Uhlmansiek |
First Address | Maple Valley, WA 98038-3350 |
Second Address | Maple Valley, WA 98038-3350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2013 |
Last Update Date | 24/02/2014 |