Healthcare Provider Details

I. General information

NPI: 1306477112
Provider Name (Legal Business Name): LAURA NEWSOM ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12810 E NORA AVE STE B
SPOKANE VALLEY WA
99216-1045
US

IV. Provider business mailing address

12810 E NORA AVE STE B
SPOKANE VALLEY WA
99216-1045
US

V. Phone/Fax

Practice location:
  • Phone: 509-934-2588
  • Fax: 509-934-2599
Mailing address:
  • Phone: 509-934-2588
  • Fax: 509-934-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61327540
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61128427
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: