Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP61095106 | WA |
N | 363LA2100X | Nurse Practitioner - Acute Care | 26772 | TN |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26772 | TN |
Y | 363LG0600X | Nurse Practitioner - Gerontology | AP61095106 | WA |
NPI | 1205471414 |
---|---|
Provider Name | Lauren Emily Kuiper |
First Address | Tacoma, WA 98405-5309 |
Second Address | Tacoma, WA 98405-5309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2019 |
Last Update Date | 19/04/2021 |