Amor G Carethers, RN
Individual provider Active NPI Home Health Registered Nurse · Lake Wood, WA
NPI 1669555397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669555397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- RN00059920 (WA)
- Practice address
- VA Puget Sound Anerican Lake Division
9600 Veterans Drive
Lake Wood, WA 98493 - Phone
- (253) 583-1209
- Fax
- (253) 589-4121
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00059920 | WA | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN00059920 | WA | Yes |
Addresses
Primary practice location
VA Puget Sound Anerican Lake Division
9600 Veterans Drive
Lake Wood, WA 98493
Mailing address
2316 Pamela Place
Steilacoom, WA 98388
Phone (253) 583-1209
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.