Provider Demographics
NPI:1851937411
Name:WARFIELD, CARRIE ANNE (LPN)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:ANNE
Last Name:WARFIELD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:CARRIE
Other - Middle Name:ANNE
Other - Last Name:NORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:5700 172ND ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-7742
Mailing Address - Country:US
Mailing Address - Phone:360-652-9640
Mailing Address - Fax:
Practice Address - Street 1:5700 172ND ST NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-7742
Practice Address - Country:US
Practice Address - Phone:360-652-9640
Practice Address - Fax:360-652-0420
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00035859164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse