Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A80876 | CA |
Y | 208000000X | Pediatrician | M-12330 | ID |
N | 208000000X | Pediatrician | MD60450226 | WA |
NPI | 1003861626 |
---|---|
Provider Name | Natale Carasali |
First Address | Lewiston, ID 83501-7301 |
Second Address | Lewiston, ID 83501-7301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 08/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003861626 | (05) | ID |
1003861626 | (05) | WA |
1003861626 | BLUE CROSS OF IDAHO (01) | ID |
1003861626 | REGENCE BLUE SHIELD (01) | ID |