Individual
DARA DELNORA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4245 ROOSEVELT WAY NE FL 3, SEATTLE, WA 98105-6008
(206) 598-8750
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP 60506846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588067433
—
WA
Enumeration date
10/07/2014
Last updated
01/13/2015
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