NICOLE LARA AGPCNP
NPI 1740674530
Nurse Practitioner - Primary Care in Vancouver, WA

Active since March 19, 2015
650 N DEVINE RD, SUITE B, VANCOUVER, WA 98661(360) 952-4457 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Lara Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LARA AGPCNP (NPI 1740674530) is an individual primary care provider in Vancouver, Washington, licensed in Washington (AP60535353) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1740674530
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNICOLE LARACredential: AGPCNP
Location Address650 N DEVINE RD, SUITE BVancouver, WA 98661-6979
Mailing Address650 N Devine Rd, Suite BVancouver, WA 98661-6979 · (360) 952-4457
Sole ProprietorNo
Enumeration DateMarch 19, 2015
NPI 1740674530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WA · AP60535353
650 N DEVINE RD, Vancouver, WA 98661

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
650 N DEVINE RD
VANCOUVER, WA 98661
Nurse Practitioner (Family)
650 N DEVINE RD
VANCOUVER, WA 98661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lara's NPI number?

The NPI number for Nicole Lara is 1740674530. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Nicole Lara located?

Nicole Lara practices at 650 N Devine Rd Suite B, Vancouver, WA 98661. The listed phone number is (360) 952-4457.

What is Nicole Lara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Nicole Lara was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.