Individual
MR. ZACHARY WAYNE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-5445
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202415423
OK
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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