Individual
MRS. ELLENA KARPENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
10720 130TH AVE NE, LAKE STEVENS, WA 98258-8878
(425) 350-1654
Mailing address
1523 10TH ST, MARYSVILLE, WA 98270-4663
(425) 350-1654
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
MW61008987
WA
176B00000X
Midwife
Primary
MW61008987
WA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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