Bird, Lora C
Bird, Lora C is an sole proprietor health care provider with primary practice located at 705 Gage Blvd Ste 102 , Richland WA 99352-9716. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bird, Lora C can be contacted via phone (814) 753-0687.Contact Information
Primary practice address
705 Gage Blvd Ste 102
Richland WA 99352-9716
Phone: (814) 753-0687
Fax: (509) 942-3273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 18180 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP60519194 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60519194 | Washington |
Profile Details
| NPI number | 1235485731 |
|---|---|
| LBN Legal business name | Bird, Lora C |
| Credentials | ANP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2012 |
| Last updated | Feb 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235485731 | NPPES |
| Connecticut | Other | 96187 | RN LICENSE |
| Connecticut | Other | 202005260NP-PP | RN LICENSE |
| Connecticut | MEDICAID | 1235485731 | RN LICENSE |
| Connecticut | Other | 18180 | RN LICENSE |
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