Individual
LAURA CHARLENE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
1404 CENTRAL AVE S STE 110, KENT, WA 98032-7433
(206) 320-5325
Mailing address
447 MORRIS AVE S, RENTON, WA 98057-2556
(509) 675-7820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61087758
WA
363L00000X
Nurse Practitioner
AP61471039
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61471039
WA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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