Provider Demographics
NPI:1346858982
Name:CARTIER, CAROLINA (CN)
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:CARTIER
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 E MADISON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2965
Mailing Address - Country:US
Mailing Address - Phone:206-726-9595
Mailing Address - Fax:
Practice Address - Street 1:11901 NE VILLAGE PLZ STE 261
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5089
Practice Address - Country:US
Practice Address - Phone:425-814-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU61083250133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist