Individual
CAROLINA GENEVE FLICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704133157
MI
363L00000X
Nurse Practitioner
Primary
AP60727687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4702398 10
—
MI
01
—
700G560080
BCBS GROUP-THREE RIVERS HEALTH
MI
Enumeration date
11/16/2005
Last updated
07/15/2020
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