Brakke, Laura L.

Brakke, Laura L. is an individual health care provider with primary practice located at 916 Pacific Ave 2Nd Floor , Everett WA 98201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Brakke, Laura L. can be contacted via phone (425) 303-6500.

Contact Information

Primary practice address
916 Pacific Ave 2Nd Floor Everett WA 98201
Phone: (425) 303-6500
Fax: (425) 303-6550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP30001446 Washington

Profile Details

NPI number 1366538563
LBN Legal business name Brakke, Laura L.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 17th, 2015 - about 9 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366538563 NPPES
Washington MEDICAID 9608696

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