Provider Demographics
NPI:1669077277
Name:HMELO, LAURA (CD(PALS))
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:HMELO
Suffix:
Gender:F
Credentials:CD(PALS)
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:JAWAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD(PALS)
Mailing Address - Street 1:11708 134TH PL NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-2427
Mailing Address - Country:US
Mailing Address - Phone:857-998-1251
Mailing Address - Fax:
Practice Address - Street 1:11708 134TH PL NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-2427
Practice Address - Country:US
Practice Address - Phone:857-998-1251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula