Provider Demographics
NPI:1194583294
Name:MCLAURIN, FLORENCE (RN)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:MCLAURIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 N WINCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7706
Mailing Address - Country:US
Mailing Address - Phone:208-818-1902
Mailing Address - Fax:
Practice Address - Street 1:1719 N WINCHESTER CT
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-7706
Practice Address - Country:US
Practice Address - Phone:208-818-1902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60662727163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse