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Individual

MS. CAROLINE N GERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 259-0966

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60641434
WA
363LF0000X
Family Nurse Practitioner
331552
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303456900
FL
01
30365700
MEDICAID GP HUG ME ORMC
FL
01
K4252
MEDICARE GROUP ORMC
FL
01
Y0541
BSBS
FL
Enumeration date
06/03/2006
Last updated
07/01/2016
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