Individual
MRS. PERLA CORNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9059 GARDNER LOOP WTB MADIGAN ARMY MEDICAL CENTER, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 967-5603
Mailing address
21311 41ST AVE E, SPANAWAY, WA 98387-6719
(253) 732-8910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00111898
WA
163WC0400X
Case Management Registered Nurse
Primary
WA00111898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R085896
RN LICENSE
MD
01
—
RN00111898
RN
WA
Enumeration date
04/18/2019
Last updated
07/19/2019
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