Tanaka, Carol Renne
Tanaka, Carol Renne is an individual health care provider with primary practice located at 613 W Gowe St , Kent WA 98032-5745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tanaka, Carol Renne can be contacted via phone (206) 296-7450.Contact Information
Primary practice address
613 W Gowe St
Kent WA 98032-5745
Phone: (206) 296-7450
Fax: (206) 205-0750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30002123 | Washington |
Profile Details
| NPI number | 1720157498 |
|---|---|
| LBN Legal business name | Tanaka, Carol Renne |
| Credentials | MSN, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720157498 | NPPES |
| Washington | MEDICAID | 6911484 |
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