Carrie A Boom is a Nurse Practitioner in Seattle, Washington. Carrie A Boom practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carrie A Boom is 1063559037. The last update date is 2007-07-09.
Carrie A Boom's current location address is 1959 Ne Pacific St, Seattle, Washington. You can contact this provider via phone number 2065984477. The mailing address for Carrie A Boom is 1959 Ne Pacific St, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carrie A Boom |
|---|---|
| Address | 1959 Ne Pacific St, Seattle, Washington |
| Phone Number | 2065984477 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1063559037 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1959 Ne Pacific St |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 9819500010 |
| Phone Number | 2065984477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30006047 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9633389 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carrie A Boom by the Centers for Medicare & Medicaid Services?
The Carrie A Boom has been assigned the NPI (National Provider Identifier) 1063559037 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Carrie A Boom's facilities are situated?
The facilities of Carrie A Boom are physically located at the following address: 1959 Ne Pacific St, Seattle, WA, 9819500010.
What is Carrie A Boom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carrie A Boom is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When did Carrie A Boom receive its 1063559037 assignment?
The Carrie A Boom was assigned its 1063559037 on 2007-01-31, which is the date when this unique identifier was issued to the organization.
When was the information regarding Carrie A Boom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carrie A Boom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1396726790
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