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Individual

MS. CARLA SYVERSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
2623 206TH AVENUE CT E, BONNEY LAKE, WA 98391-9307
(253) 826-5637
Mailing address
2623 206TH AVENUE CT E, BONNEY LAKE, WA 98391-9307
(253) 826-5637

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30006531
WA
367A00000X
Advanced Practice Midwife
RN075370 CNM
GA

Other

Enumeration date
06/14/2005
Last updated
07/08/2007
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