Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP30004826 | WA |
N | 363LN0000X | Nurse Practitioner - Neonatal | AP30004826 | WA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP30004826 | WA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP30004826 | WA |
NPI | 1316933666 |
---|---|
Provider Name | Laurinda Rae Elgin |
First Address | Olympia, WA 98502-5914 |
Second Address | Olympia, WA 98502-8654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 08/07/2007 |