| Irene Mutua, FNP-C | |
|
4903 108th St Sw, Lakewood, WA 98499-3724 | |
| (253) 589-6484 | |
| (253) 984-1079 |
| Full Name | Irene Mutua |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 4903 108th St Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811795792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP61667413 (Washington) | Primary |
| Entity Name | Mso Washington Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891116109 PECOS PAC ID: 1850292681 Enrollment ID: O20040413001631 |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Mutua, FNP-C 11033 191st Street Ct E, Puyallup, WA 98374-6522 Ph: (314) 629-9062 | Irene Mutua, FNP-C 4903 108th St Sw, Lakewood, WA 98499-3724 Ph: (253) 589-6484 |
Kristy A Walton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood Clinic, Lakewood, WA 98499 Phone: 253-459-6060 Fax: 253-459-6064 | |
Dr. Yilei Gu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11307 Bridgeport Way Sw Ste 200, Lakewood, WA 98499 Phone: 253-985-6688 Fax: 253-922-5299 | |
Constance Blair Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Frida Rineth Pena Benitez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Micah Atwood, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 100th St Sw Ste 510, Lakewood, WA 98499 Phone: 253-792-6526 Fax: 253-459-6065 | |
Dr. Lynn Fioretti, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Drive, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Scott Anthony Trapman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8511 S Tacoma Way # 200, Lakewood, WA 98499 Phone: 253-588-4015 Fax: 253-588-4035 |