Provider Demographics
NPI:1467152934
Name:DUMECQUIAS, LAARNI AGAPEN (DNP)
Entity Type:Individual
Prefix:
First Name:LAARNI
Middle Name:AGAPEN
Last Name:DUMECQUIAS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11824 57TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-6974
Mailing Address - Country:US
Mailing Address - Phone:425-977-5624
Mailing Address - Fax:
Practice Address - Street 1:11824 57TH AVE SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-6974
Practice Address - Country:US
Practice Address - Phone:425-977-5624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60612637163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse