Provider Demographics
NPI:1386689792
Name:NAMAN, LAUREL ANNE (ARNP)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:ANNE
Last Name:NAMAN
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:PO BOX 1340
Mailing Address - Street 2:
Mailing Address - City:OKANOGAN
Mailing Address - State:WA
Mailing Address - Zip Code:98840-1340
Mailing Address - Country:US
Mailing Address - Phone:509-486-0114
Mailing Address - Fax:509-486-0170
Practice Address - Street 1:106 S WHITCOMB AVE
Practice Address - Street 2:
Practice Address - City:TONASKET
Practice Address - State:WA
Practice Address - Zip Code:98855-9286
Practice Address - Country:US
Practice Address - Phone:509-486-0114
Practice Address - Fax:509-486-0170
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA139486OtherLABOR & INDUSTRIES
WA139486OtherLABOR & INDUSTRIES
AB20521Medicare Oscar/Certification