Individual
CAROLINE A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1901 S CEDAR ST, TACOMA, WA 98405-2308
(253) 318-6233
Mailing address
1901 S CEDAR ST, TACOMA, WA 98405-2308
(253) 318-6233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AP30006751
WA
363L00000X
Nurse Practitioner
Primary
AP30006751
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214420
STATE L&I
WA
Enumeration date
10/24/2006
Last updated
12/08/2015
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