Clara Ann Carson, REGISTERED NURSE
Individual provider Active NPI General Practice Registered Nurse · Keller, WA
NPI 1982102315 · NPPES record last updated Jan 31, 2018
Key facts
- NPI
- 1982102315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- RN00143746 (WA)
- Practice address
- PO Box 275
Keller, WA 99140-0275 - Phone
- (509) 634-7313
- Fax
- (509) 634-7301
- NPI assigned
- Jan 31, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00143746 | WA | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN00143746 | WA | Yes |
Addresses
Primary practice location
PO Box 275
Keller, WA 99140-0275
Mailing address
PO Box 173
Elmer City, WA 99124-0173
Phone (509) 633-9724
Other providers in Keller, WA
- Hope E Achenbach
- Colville Nation Community Health Centers
- Confederated Tribes of the Colville Reservation
- Confederated Tribes of the Colville Reservation
- Sheri Gray
- Keller School District
All providers in Keller, WA · General Practice Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2018. 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.