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Nicole Lara, AGPCNP
Primary Care Nurse Practitioner in Vancouver, Washington
NPI 1740674530

Nicole Lara is a Primary Care Nurse Practitioner based in Vancouver, WA and is specialized in Primary Care. Nicole Lara practices in Vancouver, WA and has the professional credentials of AGPCNP. The NPI Number for Nicole Lara is 1740674530 and holds a License No. AP60535353 (Washington).

The current practice location address for Nicole Lara is 650 N Devine Rd, Vancouver, WA and can be reached out via phone at 360-952-4457.

Location: 650 N Devine Rd, Vancouver, WA, 98661-6979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740674530
Provider Name
Nicole Lara
Credential
AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
650 N Devine Rd, Vancouver, WA, 98661-6979
Phone Number
360-952-4457
Fax Number
Provider Enumeration Date
03/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 N Devine Rd
City
Vancouver
State
Washington
Zip
98661-6979
Phone Number
360-952-4457
Fax Number
person
Provider Business Mailing Address Details
Address
650 N Devine Rd
City
Vancouver
State
Washington
Zip
98661-6979
Phone Number
360-952-4457
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
AP60535353 (Washington)
Definition
Definition to come...
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