Healthcare Provider Details

I. General information

NPI: 1073488797
Provider Name (Legal Business Name): LAURIE A SCOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9911 N NEVADA ST STE 200
SPOKANE WA
99218-1298
US

IV. Provider business mailing address

9911 N NEVADA ST STE 200
SPOKANE WA
99218-1298
US

V. Phone/Fax

Practice location:
  • Phone: 509-626-9420
  • Fax: 509-626-9421
Mailing address:
  • Phone: 509-626-9420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN00163021
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: