Individual
CHARLENE CORKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
320 S KITSAP BLVD, PORT ORCHARD, WA 98366-3778
(360) 377-3776
(360) 874-5595
Mailing address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61181132
WA
Other
Enumeration date
09/19/2018
Last updated
11/09/2021
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