Corina L Fesler
Individual provider Active NPI Case Manager/Care Coordinator · Selah, WA
NPI 1033347679 · NPPES record last updated Jun 10, 2011
Key facts
- NPI
- 1033347679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- CG60162057 (WA)
- Practice address
- 180 Green Ridge LN
Selah, WA 98942-9607 - Phone
- (509) 406-3995
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60162057 | WA | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CG60162057 | WA | Yes |
Addresses
Primary practice location
180 Green Ridge LN
Selah, WA 98942-9607
Mailing address
180 Green Ridge LN
Selah, WA 98942-9607
Phone (509) 406-3995
Other providers in Selah, WA
- Courtney Christine Deats
- Lindsay Disney
- DSHS/Dda/Yakima Valley School
- Arleen Dale Dull I
- Sheryl Ann Fairchild
- Alejandra Figueroa
- Noemi S Figueroa
- Amanda J Ford
- Matthew Garrett Frank
- Frederick J Thysell MD Inc PS
All providers in Selah, WA · Case Manager/Care Coordinator in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.