Whorley, Lara D

Whorley, Lara D is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 500 , Renton WA 98055-5782. 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Whorley, Lara D can be contacted via phone (425) 690-3482.

Contact Information

Primary practice address
4011 Talbot Rd S Ste 500 Renton WA 98055-5782
Phone: (425) 690-3482
Fax: (425) 690-9082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X IP60422874 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP60420601 Washington

Profile Details

NPI number 1396173936
LBN Legal business name Whorley, Lara D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Jan 26th, 2023 - about 3 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 1396173936 NPPES
Washington MEDICAID 0

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