Carnaghan, Mary Elizabeth

Carnaghan, Mary Elizabeth is an individual health care provider with primary practice located at 1100 Goethals Dr Suite F, Richland WA 99352-3300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Carnaghan, Mary Elizabeth can be contacted via phone (509) 942-3272.

Contact Information

Primary practice address
1100 Goethals Dr Suite F Richland WA 99352-3300
Phone: (509) 942-3272
Fax: (509) 942-3273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201150001NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60697118 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60697118 Washington

Profile Details

NPI number 1811250764
LBN Legal business name Carnaghan, Mary Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2012
Last updated Jun 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811250764 NPPES
Washington MEDICAID 1811250764
Washington MEDICAID 2055330
Washington MEDICAID 500646761

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