MEDICARE: ANGELA BEVERLY CARNAHAN CD

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	374J00000X	Doula	TRNG.TG.61648318-BDC	WA

General Provider Information

NPI Number	:	1275470098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA BEVERLY CARNAHAN CD

Provider Business Mailing Address
First Line	:	4914 BERING ST
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-9776
Country	:	US
Telephone Number	:	253-330-0662
Fax Number	:

Provider Business Practice Location Address
First Line	:	4914 BERING ST
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-9776
Country	:	US
Telephone Number	:	253-330-0662
Fax Number	:

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

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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