Provider Demographics
NPI:1629510151
Name:FARINELLA, LAURIE MICHELLE (ND)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:MICHELLE
Last Name:FARINELLA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:MICHELLE
Other - Last Name:BACHAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:401 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2827
Mailing Address - Country:US
Mailing Address - Phone:425-312-1677
Mailing Address - Fax:425-659-3626
Practice Address - Street 1:401 UNION AVE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2827
Practice Address - Country:US
Practice Address - Phone:425-312-1677
Practice Address - Fax:425-659-3626
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60699676175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath