Individual
MELINDA J CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039590
LABOR AND INDUSTRIES #
WA
01
—
8807CA
BLUE SHIELD #
WA
05
—
9644071
—
WA
01
—
US7189649
AETNA SPECIALIST PIN
WA
Enumeration date
01/15/2007
Last updated
02/14/2020
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