Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP60103850 | WA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP60103850 | WA |
NPI | 1043534225 |
---|---|
Provider Name | Ms. Anne Campbell Laucella |
First Address | Richland, WA 99352-9532 |
Second Address | Richland, WA 99352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2010 |
Last Update Date | 10/12/2020 |