Healthcare Provider Details

I. General information

NPI: 1093629750
Provider Name (Legal Business Name): CAROLINA MOZO-RIGGS DNP, ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 S 23RD ST STE 110
TACOMA WA
98405-1615
US

IV. Provider business mailing address

8514 13TH AVENUE CT E
TACOMA WA
98445-4316
US

V. Phone/Fax

Practice location:
  • Phone: 801-890-3748
  • Fax:
Mailing address:
  • Phone: 206-355-4074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70179497-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: