Provider Demographics
NPI:1417982505
Name:NAASZ, CORRIE A (MD)
Entity Type:Individual
Prefix:DR
First Name:CORRIE
Middle Name:A
Last Name:NAASZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CORRIE
Other - Middle Name:AINSLEE
Other - Last Name:SHEETS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6401 KIMBALL DR
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1225
Mailing Address - Country:US
Mailing Address - Phone:253-858-9192
Mailing Address - Fax:253-858-4348
Practice Address - Street 1:6401 KIMBALL DR
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1225
Practice Address - Country:US
Practice Address - Phone:253-858-9192
Practice Address - Fax:253-858-4348
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00041029207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0159889OtherSTATE L&I
WA0277657OtherL&I
WA8299158Medicaid
0223267OtherSTATE L&I
WA0159891OtherSTATE L&I
WA0159890OtherSTATE L&I
WAG8899864OtherMEDICARE
WA8936468OtherSTATE CRIME VICTIMS
WAGAB27599Medicare PIN
WA8936468OtherSTATE CRIME VICTIMS
WAG8899864OtherMEDICARE
WAG37029Medicare UPIN
WA0159890OtherSTATE L&I