Individual
CARL B ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
3806 13TH AVE W, SEATTLE, WA 98119-1312
12063909106
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60786813
WA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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