Individual
MRS. LARA D WHORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3482
(425) 690-9082
Mailing address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3482
(425) 690-9082
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
IP60422874
WA
363LG0600X
Gerontology Nurse Practitioner
AP60420601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
WA
Enumeration date
10/16/2013
Last updated
01/26/2023
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