Provider Demographics
NPI:1245433242
Name:TREVINO, LAURA LEE (AA, RN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:LEE
Last Name:TREVINO
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Gender:F
Credentials:AA, RN
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Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:505 29TH ST SE
Practice Address - Street 2:CHARTLEY HOUSE
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-7541
Practice Address - Country:US
Practice Address - Phone:253-876-7650
Practice Address - Fax:253-876-7651
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2013-05-02
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Provider Licenses
StateLicense IDTaxonomies
WARN00105276163WP0809X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health