MEDICARE: LAURINDA RAE ELGIN RNC MS NNP PNP FNP

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
1	363LF0000X	Family Nurse Practitioner	AP30004826	WA
2	363LN0000X	Neonatal Nurse Practitioner	AP30004826	WA
3	363LN0005X	Critical Care Neonatal Nurse Practitioner	AP30004826	WA
4	363LP0200X	Pediatric Nurse Practitioner	AP30004826	WA

General Provider Information

NPI Number	:	1316933666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURINDA RAE ELGIN RNC MS NNP PNP FNP

Provider Business Mailing Address
First Line	:	1316 EVERGREEN PARK DR SW
Second Line	:	#5
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5914
Country	:	US
Telephone Number	:	360-956-1449
Fax Number	:	360-704-4714

Provider Business Practice Location Address
First Line	:	3900 CAPITOL MALL DR SW
Second Line	:	CAPITAL MEDICAL CENTER - WOMENS' SERVICES
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8654
Country	:	US
Telephone Number	:	360-704-4714
Fax Number	:	360-956-1547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	09/11/2025

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