Provider Demographics
NPI:1104116102
Name:LAWS, CADY LYNNE (WHNP)
Entity type:Individual
Prefix:
First Name:CADY
Middle Name:LYNNE
Last Name:LAWS
Suffix:
Gender:
Credentials:WHNP
Other - Prefix:
Other - First Name:CADY
Other - Middle Name:LYNNE
Other - Last Name:SALISBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:945 GOETHALS DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-942-2555
Mailing Address - Fax:509-942-2340
Practice Address - Street 1:705 GAGE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-9716
Practice Address - Country:US
Practice Address - Phone:509-236-6333
Practice Address - Fax:509-769-5118
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60580135363LW0102X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1104116102Medicaid