Individual
MARY ELIZABETH CARNAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1100 GOETHALS DR, SUITE F, RICHLAND, WA 99352-3300
(509) 942-3272
(509) 942-3273
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201150001NP
OR
363L00000X
Nurse Practitioner
AP60697118
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60697118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811250764
—
WA
05
—
2055330
—
WA
05
—
500646761
—
OR
Enumeration date
06/15/2012
Last updated
06/15/2021
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