Organization
ADVANCED NP CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORENE IRVIN ARNP (OWNER)
(253) 444-3320
Entity
Organization
Contact information
Practice address
815 S VASSAULT ST, TACOMA, WA 98465-2008
(253) 444-3320
Mailing address
815 S VASSAULT ST, TACOMA, WA 98465-2008
(253) 444-3320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60978206
LICENSE
WA
Enumeration date
11/19/2021
Last updated
11/19/2021
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