Individual
LAILA NICOLE MANSOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
1100 9TH AVE, MS:C6-GS, SEATTLE, WA 98101-2756
(206) 223-6193
(206) 223-6914
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007576
WA
363LW0102X
Women's Health Nurse Practitioner
AP30007576
WA
Other
Enumeration date
12/22/2006
Last updated
01/06/2017
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