| NPI | 1568491546 |
|---|---|
| Professional Name | CAROL ANDREA IVERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650073NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00059823) |
| 163W00000X Registered Nurse (Licence: OR 200641541RN) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30000587) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30000587) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-10-25 |