Provider Demographics
NPI:1114267317
Name:JAIMES, LORENA (ARNP)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:JAIMES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 5TH AVE NE APT 103
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6451
Mailing Address - Country:US
Mailing Address - Phone:206-972-3469
Mailing Address - Fax:
Practice Address - Street 1:6515 5TH AVE NE APT 103
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6451
Practice Address - Country:US
Practice Address - Phone:206-972-3469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 60301515363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health