Provider Demographics
NPI:1184065633
Name:CARMAN, F. JOAN (RN)
Entity type:Individual
Prefix:
First Name:F.
Middle Name:JOAN
Last Name:CARMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 RUSSET RD
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-8253
Mailing Address - Country:US
Mailing Address - Phone:509-525-7828
Mailing Address - Fax:509-526-4429
Practice Address - Street 1:113 RUSSET RD
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-8253
Practice Address - Country:US
Practice Address - Phone:509-525-7828
Practice Address - Fax:509-526-4429
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00040238163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse