Healthcare Provider Details

I. General information

NPI: 1114400991
Provider Name (Legal Business Name): REBECCA CARVER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2018
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 BROADWAY STE 200
TACOMA WA
98402-3400
US

IV. Provider business mailing address

122 MAY ST W
PORT ORCHARD WA
98366-2503
US

V. Phone/Fax

Practice location:
  • Phone: 253-306-1386
  • Fax:
Mailing address:
  • Phone: 414-416-6527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberRN00098275
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: