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Individual

MS. NANCY CORLEY-WHEELER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MN ARNP

Contact information

Practice address
608 S G STREET, TACOMA, WA 98405-4625
(253) 573-1105
(253) 573-1104
Mailing address
608 S G ST, TACOMA, WA 98405-4625
(253) 573-1105
(253) 573-1104

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30001770
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9646704
WA
01
AP30001770
ARNP
WA
Enumeration date
01/16/2007
Last updated
02/06/2015
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