Provider Demographics
NPI:1053580233
Name:NORRIS, LAURA ANN (ARNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:NORRIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 S COLLEGE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1193
Mailing Address - Country:US
Mailing Address - Phone:509-527-2425
Mailing Address - Fax:
Practice Address - Street 1:133 S COLLEGE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1193
Practice Address - Country:US
Practice Address - Phone:509-527-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006252363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health