Carreon, Myra Drew
Carreon, Myra Drew is an individual health care provider with primary practice located at 1708 Yakima Ave Ste 107 , Tacoma WA 98405-5300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Carreon, Myra Drew can be contacted via phone (253) 207-4850.Contact Information
Primary practice address
1708 Yakima Ave Ste 107
Tacoma WA 98405-5300
Phone: (253) 207-4850
Fax: (253) 858-5436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME107431 | Florida |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD60672218 | Washington |
Profile Details
| NPI number | 1679767677 |
|---|---|
| LBN Legal business name | Carreon, Myra Drew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2007 |
| Last updated | Dec 2nd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679767677 | NPPES |
| Washington | MEDICAID | 2072238 |
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