Individual
LORI JEANNE PRINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN
Contact information
Practice address
900 PACIFIC AVE, EVERETT, WA 98201-4168
(425) 258-7311
(425) 258-7618
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AP30001943
WA
2080P0006X
Developmental - Behavioral Pediatrics Physician
AP30001943
WA
363L00000X
Nurse Practitioner
AP30001943
WA
363LC1500X
Community Health Nurse Practitioner
AP30001943
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30001943
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30001943
WA ST LICENSE
WA
01
—
RN00096704
WA ST LICENSE
WA
Enumeration date
10/22/2008
Last updated
04/23/2015
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