Carmen Sundin
Individual provider Active NPI Basic Emergency Medical Technician · Vader, WA
NPI 1720448574 · NPPES record last updated Mar 7, 2016
Key facts
- NPI
- 1720448574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- AMBV.ES.60271398 (WA)
- Practice address
- 801 B Street
Vader, WA 98593-0194 - Phone
- (360) 295-0906
- Fax
- (360) 295-0907
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMBV.ES.60271398 | WA | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Fire District No 5 | Current | Accepting new patients | |
| Cowlitz County-Lewis County Fire District 20 | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | AMBV.ES.60271398 | WA | Yes |
Addresses
Primary practice location
801 B Street
Vader, WA 98593-0194
Mailing address
PO Box 194
Vader, WA 98593-0194
Phone (360) 295-0906
Other providers in Vader, WA
- Cowlitz County-Lewis County Fire District 20
- Randy D. Kempf
- Sarah Leanne Krume
- Vader School District
All providers in Vader, WA · Basic Emergency Medical Technician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2016. 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.