Lacie J Hearron, RN
Individual provider Active NPI Registered Nurse · Colbert, WA
NPI 1366069882 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1366069882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN60071718 (WA)
- Practice address
- 6115 E Greenbluff Rd
Colbert, WA 99005-9525 - Phone
- (509) 939-7269
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60071718 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60071718 | WA | Yes |
Addresses
Primary practice location
6115 E Greenbluff Rd
Colbert, WA 99005-9525
Mailing address
6115 E Greenbluff Rd
Colbert, WA 99005-9525
Phone (509) 939-7269
Other providers in Colbert, WA
- Kelly Clark Burns
- Chit-Chat Speech Therapy
- From Birth to Breast LLC
- Sadonia Garner
- Lisa Hartzer
- Lauren Nicole Hellberg
- Nigel Isaiah Henderson
- Shelly Marie Henderson
- Deborah Kaye Hunt
- Stephanie Huntley
All providers in Colbert, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.