Individual
MS. LINDA JEAN DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, RNFA, ARNP
Contact information
Practice address
3333 N WHITMAN ST, TACOMA, WA 98407-1547
(253) 759-3065
(253) 759-2585
Mailing address
3333 N WHITMAN ST, TACOMA, WA 98407-1547
(253) 759-3065
(253) 759-2585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30007103
WA
363L00000X
Nurse Practitioner
Primary
RN00064457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120327
L & I
WA
05
—
9621509
—
WA
Enumeration date
11/01/2006
Last updated
03/07/2023
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