Provider Demographics
NPI:1558645929
Name:LAULAINEN, KIRSTEN (CNA, EMT)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:LAULAINEN
Suffix:
Gender:F
Credentials:CNA, EMT
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 3455
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-3455
Mailing Address - Country:US
Mailing Address - Phone:907-841-4688
Mailing Address - Fax:
Practice Address - Street 1:630 E STEEL LOOP
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6689
Practice Address - Country:US
Practice Address - Phone:907-841-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK08140011146N00000X
AK10513376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic