Provider Demographics
NPI:1295492700
Name:CARMICHAEL, AUNDREA (MSM, LM, CPM)
Entity type:Individual
Prefix:
First Name:AUNDREA
Middle Name:
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:MSM, LM, CPM
Other - Prefix:
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:CARMICHAEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSM, LM, CPM
Mailing Address - Street 1:5302 104TH ST E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98446-5330
Mailing Address - Country:US
Mailing Address - Phone:253-336-8311
Mailing Address - Fax:
Practice Address - Street 1:5302 104TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98446-5330
Practice Address - Country:US
Practice Address - Phone:253-336-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61219693176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife