Provider Demographics
NPI:1831530005
Name:DALRYMPLE, CARA RAE (RN)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:RAE
Last Name:DALRYMPLE
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 1:253 GLACIER PEAK LN
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-7642
Mailing Address - Country:US
Mailing Address - Phone:360-721-3026
Mailing Address - Fax:
Practice Address - Street 1:253 GLACIER PEAK LN
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-7642
Practice Address - Country:US
Practice Address - Phone:360-721-3026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00177500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse