Healthcare Provider Details

I. General information

NPI: 1396692919
Provider Name (Legal Business Name): LAURIE MORELLI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 NE 75TH ST
SEATTLE WA
98115-4709
US

IV. Provider business mailing address

2445 3RD AVE S
SEATTLE WA
98134-1923
US

V. Phone/Fax

Practice location:
  • Phone: 206-252-5017
  • Fax:
Mailing address:
  • Phone: 206-252-5017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00176494
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: