MEDICARE: MS. ELIZABETH MARY GOLDEN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP30001935	WA
2	363LF0000X	Family Nurse Practitioner	AP30001935	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	500026837	OTHER	WA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6301GO	OTHER	WA	BLUE SHIELD
2	136064	OTHER	WA	LABOR & INDUSTRIES
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497737316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH MARY GOLDEN ARNP

Provider Business Mailing Address
First Line	:	2608 KWINA RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9291
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 KWINA RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9291
Country	:	US
Telephone Number	:	360-384-0464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	10/29/2024

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