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NPI Code Detail

MEDICARE: JACQUELINE LAUGHLIN A.R.N.P.

MEDICARE: JACQUELINE LAUGHLIN A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP30006037WA

General Provider Information

NPI Number : 1083717649
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE LAUGHLIN A.R.N.P.
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : TOPPENISH
State : WA
Zip : 98948-0190
Country : US
Telephone Number : 509-865-6175
Fax Number :
Provider Business Practice Location Address
First Line : 120 W MISSION AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2322
Country : US
Telephone Number : 509-326-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 12/20/2012

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