Healthcare Provider Details

I. General information

NPI: 1023361383
Provider Name (Legal Business Name): LAURA FINNEGAN R.N, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 10/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 129TH ST S
TACOMA WA
98444-5044
US

IV. Provider business mailing address

13414 115TH AVE E
PUYALLUP WA
98374-3140
US

V. Phone/Fax

Practice location:
  • Phone: 253-298-3000
  • Fax: 253-298-3017
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00144979
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: