Individual
MISS CORRIE RENAE SHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6000 NE 88TH ST STE D102, VANCOUVER, WA 98665-0982
(360) 474-5904
Mailing address
6000 NE 88TH ST STE D102, VANCOUVER, WA 98665-0982
(503) 307-7901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61606447
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61610335
WA
Other
Enumeration date
02/07/2024
Last updated
09/19/2024
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