Individual
FATIMA CORBETA GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1006 N H ST, ABERDEEN, WA 98520-2521
(360) 537-6332
Mailing address
1006 N H ST FL 3, ABERDEEN, WA 98520-2521
(360) 537-6322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61090955
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61090955
WASHINGTON STATE LICENSE
WA
Enumeration date
05/05/2020
Last updated
10/02/2020
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