MEDICARE: LAURIE DEMPSEY BSN, MN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	AP30006446	WA

General Provider Information

NPI Number	:	1578569836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE DEMPSEY BSN, MN

Provider Business Mailing Address
First Line	:	1530 N 115TH ST
Second Line	:	STE 107
City	:	SEATTLE
State	:	WA
Zip	:	98133-8411
Country	:	US
Telephone Number	:	206-368-6560
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 N 115TH ST
Second Line	:	STE 107
City	:	SEATTLE
State	:	WA
Zip	:	98133-8411
Country	:	US
Telephone Number	:	206-368-6560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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