CARMEN M UNDERWOOD RT NPI 1962712216

NPI Information

NPI: 1962712216
Provider Name: CARMEN M UNDERWOOD, RT
Classification: Radiologic Technologist - 247100000X
Entity Type: Individual
Address:
5510 ROUNDUP ST
BOISE, ID
ZIP 83709
Phone: (208) 422-0600
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Carmen M Underwood, RT is a radiologic technologist in Boise, ID. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. Carmen M Underwood, RT NPI is 1962712216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5510 ROUNDUP ST
BOISE, ID
ZIP 83709-461
Phone: (208) 422-0600

The enumeration date for this NPI number is 10/19/2010 and was last updated on 10/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247100000X	Radiologic Technologist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	273584	OTHER		ARRT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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