Individual
SHARON KAY CORRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8150 LOPEZ DR, CLINTON, WA 98236-9236
(703) 380-2189
Mailing address
PO BOX 1244, CLINTON, WA 98236-1244
(703) 380-2189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61035484
WA
363L00000X
Nurse Practitioner
Primary
61098656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7780656
—
VA
Enumeration date
08/30/2005
Last updated
11/26/2023
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