Individual
TODD M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1268 BRIDGE ST, CLARKSTON, WA 99403-2219
(509) 758-9524
(509) 758-8258
Mailing address
1268 BRIDGE ST, CLARKSTON, WA 99403-2219
(509) 758-9524
(509) 758-8258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP-1086A
ID
363LF0000X
Family Nurse Practitioner
Primary
AP60241846
WA
Other
Enumeration date
07/12/2011
Last updated
07/18/2023
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