Provider Demographics
NPI:1962495929
Name:FREED, CAROLYN MARY (RN, MN, MSN, ARNP)
Entity Type:Individual
Prefix:MISS
First Name:CAROLYN
Middle Name:MARY
Last Name:FREED
Suffix:
Gender:F
Credentials:RN, MN, MSN, ARNP
Other - Prefix:MRS
Other - First Name:CAROLYN
Other - Middle Name:MARY
Other - Last Name:FREED-ALBEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN
Mailing Address - Street 1:1329 56TH ST SW
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-5919
Mailing Address - Country:US
Mailing Address - Phone:425-407-0590
Mailing Address - Fax:
Practice Address - Street 1:1630 GROVE ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4302
Practice Address - Country:US
Practice Address - Phone:360-653-3500
Practice Address - Fax:360-657-3268
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005645363LF0000X
WARN00112300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse