Provider Demographics
NPI:1821321514
Name:MCNALL, LAURIE E (RN)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:E
Last Name:MCNALL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83211 JOSEPH HWY
Mailing Address - Street 2:
Mailing Address - City:JOSEPH
Mailing Address - State:OR
Mailing Address - Zip Code:97846-8151
Mailing Address - Country:US
Mailing Address - Phone:541-398-1149
Mailing Address - Fax:
Practice Address - Street 1:83211 JOSEPH HWY
Practice Address - Street 2:
Practice Address - City:JOSEPH
Practice Address - State:OR
Practice Address - Zip Code:97846-8151
Practice Address - Country:US
Practice Address - Phone:541-398-1149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR099007379RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health