# CAROLINA GENEVE FLICKINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295717262
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704133157 | MI | — |
| 363L00000X | Nurse Practitioner | AP60727687 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 07/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4702398 10 | — | MI |
| 01 | — | 700G560080 | BCBS GROUP-THREE RIVERS HEALTH | MI |