Provider Demographics
NPI:1538260708
Name:CORPUZ, GERILYN TOLENTINO (RN)
Entity type:Individual
Prefix:MS
First Name:GERILYN
Middle Name:TOLENTINO
Last Name:CORPUZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10011 BRIDGEPORT WAY SW STE 1500
Mailing Address - Street 2:PMB #289
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2332
Mailing Address - Country:US
Mailing Address - Phone:425-442-1155
Mailing Address - Fax:
Practice Address - Street 1:10011 BRIDGEPORT WAY SW STE 1500
Practice Address - Street 2:PMB #289
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2332
Practice Address - Country:US
Practice Address - Phone:425-442-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00163488163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology