Healthcare Provider Details

I. General information

NPI: 1205964475
Provider Name (Legal Business Name): LAURA J. TOEPFER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 S SOUTHEAST BLVD
SPOKANE WA
99223-3541
US

IV. Provider business mailing address

PO BOX 2808
SPOKANE WA
99220
US

V. Phone/Fax

Practice location:
  • Phone: 509-533-1000
  • Fax: 509-533-1838
Mailing address:
  • Phone: 509-688-6702
  • Fax: 509-677-6792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30003934
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: