Provider Demographics
NPI:1366829871
Name:DEMPSTER, PAULA (LPN)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:DEMPSTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 W 4TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-7257
Mailing Address - Country:US
Mailing Address - Phone:509-324-6421
Mailing Address - Fax:855-415-4966
Practice Address - Street 1:1500 W 4TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-7257
Practice Address - Country:US
Practice Address - Phone:509-324-6421
Practice Address - Fax:855-415-4966
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP 60235693164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse