Individual
LAURA J CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4804 W CLEARWATER AVE, KENNEWICK, WA 99336
(509) 942-2235
(509) 222-2355
Mailing address
4804 W CLEARWATER AVE, KENNEWICK, WA 99336-2119
(509) 942-2355
(509) 222-1289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
AP60261498
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60261498
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649542838
—
WA
Enumeration date
02/02/2012
Last updated
04/16/2021
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