Individual
LEANNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 M AVE STE B, ANACORTES, WA 98221-3897
(360) 293-3101
Mailing address
3822 SUTTON PL, ANACORTES, WA 98221-1167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60740603
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
WA
Enumeration date
10/18/2017
Last updated
09/15/2021
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