Doctor Name: | MRS. ANDREA CARRIEDO |
NPI Number: | 1013230796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN60135418 |
Business Practice Address: | 602 E Nob Hill Blvd Yakima, WA - 989013534 |
Business Phone Number: | 5094537144 |
Business Fax Number: | |
Mailing Address: | 602 E Nob Hill Blvd, YAKIMA |
State: | WA |
Postal Code: | 989013534 |
Phone Number: | 5094537144 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 02/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN60135418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |