Individual
IRENE MUDEHWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
784 14TH AVE, LONGVIEW, WA 98632-2315
(360) 703-6400
(360) 353-3611
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 353-3256
(360) 703-3181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60909301
WA
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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