| Corene Kimberly Irvin, APRN | |
|
15508 80th Avenue Ct E, Puyallup, WA 98375-8489 | |
| (785) 630-0608 | |
| Not Available |
| Full Name | Corene Kimberly Irvin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 15508 80th Avenue Ct E, Puyallup, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003463951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 60978206 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Tacoma, WA | Hospital |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Entity Name | Advanced NP Consultation LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174280663 PECOS PAC ID: 6709278286 Enrollment ID: O20220112001968 |
| Mailing Address | Practice Location Address |
|---|---|
| Corene Kimberly Irvin, APRN 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 Ph: Not Available | Corene Kimberly Irvin, APRN 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 Ph: (785) 630-0608 |
Melinda Moore, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674 |
Oscar Herrera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610 |
Mark Perpose, DNP, ARNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15507 85th Ave E, Puyallup, WA 98375 Phone: 808-635-4543 |
Jacqueline Lee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14506 110th Ave E, Puyallup, WA 98374 Phone: 253-393-0336 |
Sara R Husarik, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Meridian S, Suite 120, Puyallup, WA 98371 Phone: 253-848-8797 Fax: 253-446-3239 |
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515 |
Marsha R Starr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1706 Meridian S, Suite 120, Puyallup, WA 98371 Phone: 253-848-8797 Fax: 253-446-3239 |