Healthcare Provider Details

I. General information

NPI: 1013013747
Provider Name (Legal Business Name): LAURA C HEARD RN, MS, CRRN-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY #128
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

4245 NE 74TH ST
SEATTLE WA
98115-6035
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-3302
  • Fax: 206-764-2799
Mailing address:
  • Phone: 206-525-0965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN00045989
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: