Provider Demographics
NPI:1083992937
Name:GAUKROGER-HOLLAND, LAURA V (RN,SANE-A & P, FNE)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:V
Last Name:GAUKROGER-HOLLAND
Suffix:
Gender:F
Credentials:RN,SANE-A & P, FNE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 N. CHELAN AVENUE
Mailing Address - Street 2:CENTRAL WASHINGTON HOSPITAL FAMILY HEALTH SERIVICES
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-667-3350
Mailing Address - Fax:509-665-6259
Practice Address - Street 1:526 N. CHELAN AVENUE
Practice Address - Street 2:CENTRAL WASHINGTON HOSPITAL FAMILY HEALTH SERVICES
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801
Practice Address - Country:US
Practice Address - Phone:509-667-3350
Practice Address - Fax:509-665-6259
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00061889163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse