Individual provider · Type 1 NPI
Corene Kimberly Irvin, APRN
Acute Care Nurse Practitioner · Puyallup, WA
NPI number
1003463951
Active
Practice location
15508 80th Avenue Ct E
Puyallup, WA 98375-8489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 60978206 (WA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1003463951
Corene Kimberly Irvin, APRN's National Provider Identifier is 1003463951, issued on Aug 23, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Puyallup, WA. The record was last updated on Nov 1, 2021.