Healthcare Provider Details
I. General information
NPI: 1205906328
Provider Name (Legal Business Name): JOAN FRANCES CORKEY-O'HARE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/08/2006
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 W 5TH AVE SUITE 323
SPOKANE WA
99204-2823
US
IV. Provider business mailing address
801 W 5TH AVE SUITE 323
SPOKANE WA
99204-2823
US
V. Phone/Fax
- Phone: 509-838-2960
- Fax: 509-459-0424
- Phone: 509-838-2960
- Fax: 509-459-0424
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN00062589 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | AP30003428 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: