Individual provider · Type 1 NPI

Nicole Lara, AGPCNP

Primary Care Nurse Practitioner · Vancouver, WA

NPI number 1740674530 Active

Practice location

650 N Devine Rd, Suite B
Vancouver, WA 98661-6979

Call (360) 952-4457 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP60535353 (WA)

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1740674530

Nicole Lara, AGPCNP's National Provider Identifier is 1740674530, issued on Mar 19, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Vancouver, WA. The record was last updated on Mar 19, 2015.