Nicole Lara, AGPCNP - Nurse Practitioner in Vancouver, WA

Nicole Lara, AGPCNP is a Nurse Practitioner - Primary Care based in Vancouver, Washington. Nicole Lara is licensed to practice in Washington (license number AP60535353) and her current practice location is 650 N Devine Rd, Suite B, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 952-4457.

NPI number for Nicole Lara is 1740674530 and her current mailing address is 650 N Devine Rd, Suite B, Vancouver, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740674530.

Contact Information

Nicole Lara, AGPCNP
650 N Devine Rd, Suite B,
Vancouver, WA 98661-6979
(360) 952-4457
Not Available

Map and Direction




Provider's Profile

Full NameNicole Lara
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location650 N Devine Rd, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740674530
  • Provider Enumeration Date: 03/19/2015
  • Last Update Date: 03/19/2015

Medical Identifiers

Medical identifiers for Nicole Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740674530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care AP60535353 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Lara is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Lara, AGPCNP
650 N Devine Rd, Suite B,
Vancouver, WA 98661-6979

Ph: (360) 952-4457
Nicole Lara, AGPCNP
650 N Devine Rd, Suite B,
Vancouver, WA 98661-6979

Ph: (360) 952-4457

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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