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Individual

MS. LAURA LEE HENRIKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258-5172
(480) 271-3774
Mailing address
42 SAYWARD LN, PORT LUDLOW, WA 98365-9640
(646) 753-1695

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP61120717
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61120717
WA

Other

Enumeration date
03/13/2021
Last updated
08/06/2024
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