Zoe Elaine Carlson, ARNP

Individual provider Active NPI Adult Health Nurse Practitioner · Cle Elum, WA

NPI 1942437280 · NPPES record last updated Oct 19, 2015

Key facts

NPI
1942437280
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
AP60097097 (WA)
Practice address
201 Alpha Way
Cle Elum, WA 98922-1045
Phone
(509) 674-5331
Fax
(509) 674-5034
NPI assigned
Jun 13, 2009
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)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60097097 WA Yes

Addresses

Primary practice location

201 Alpha Way
Cle Elum, WA 98922-1045

Mailing address

201 Alpha Way
Cle Elum, WA 98922-1045

Other identifiers

IdentifierTypeStateIssuer
9661547MedicaidWA

Other providers in Cle Elum, WA

All providers in Cle Elum, WA · Adult Health Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.