Healthcare Provider Details

I. General information

NPI: 1134736143
Provider Name (Legal Business Name): CARANINA ELIZABETH PALOMINO RN, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 05/10/2022
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11511 NE 10TH ST
BELLEVUE WA
98004-8578
US

IV. Provider business mailing address

11511 NE 10TH ST FL 3
BELLEVUE WA
98004-8578
US

V. Phone/Fax

Practice location:
  • Phone: 425-502-3000
  • Fax: 425-502-3589
Mailing address:
  • Phone: 425-502-4230
  • Fax: 425-502-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP61158938
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236159
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: