Individual
LORA C BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
705 GAGE BLVD STE 102, RICHLAND, WA 99352-9716
(814) 753-0687
(509) 942-3273
Mailing address
5990 WILLOWBEND ST, WEST RICHLAND, WA 99353-6079
(814) 753-0687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60519194
WA
363LA2200X
Adult Health Nurse Practitioner
18180
TN
363LA2200X
Adult Health Nurse Practitioner
AP60519194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235485731
—
WA
01
—
18180
TN BOARD OF NURSING
TN
01
—
202005260NP-PP
OREGON BOARD OF NURSING
OR
01
—
96187
RN LICENSE
CT
Enumeration date
08/02/2012
Last updated
02/15/2024
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