Healthcare Provider Details

I. General information

NPI: 1447190012
Provider Name (Legal Business Name): BRANDON AUBREY LAPLANTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 E COOPER LN
COLBERT WA
99005-9821
US

IV. Provider business mailing address

902 E COOPER LN
COLBERT WA
99005-9821
US

V. Phone/Fax

Practice location:
  • Phone: 509-710-1442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP.70036957
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: