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Individual
LAURA J. HANEY
Active
Individual
LAURA J. HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, BSN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58301
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
58301
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HANEYLJ296LRC1451398
DRIVERS LICENSE
WA
Enumeration date
01/23/2019
Last updated
12/03/2025
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