Individual
LAURA STAJDUHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
Mailing address
318 KRUGER RD, ONALASKA, WA 98570-9709
(253) 318-9736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61319998
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61319998
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2215897
—
WA
Enumeration date
06/05/2022
Last updated
09/29/2022
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