Zachary Wayne Carlson, APRN
Nurse Practitioner, Pediatrics in Spokane, WA. Individual provider (NPI-1).
NPI number1912765892
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1912765892
- Entity type
- Individual (NPI-1)
- Name
- Mr. Zachary Wayne Carlson
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2024
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 202415423 | OK | Yes |
Practice location
101 W 8th AveSpokane, WA 99204-2307
Phone 509-474-5445
Mailing address
Po Box 421Liberty Lake, WA 99019-0421
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