Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irene Mutua, FNP-C

Individual provider Family Medicine Physician · NPI 1811795792

Irene Mutua, FNP-C is a Nurse Practitioner in Lakewood, Washington. Qualified in 2024, 2 years ago. Practices with MSO Washington Inc, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4903 108th St SW
Lakewood, WA 98499-3724
Phone: (253) 589-6484
Fax: (253) 984-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence AP61667413 (WA)

Record details

NPI number1811795792
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mso Washington Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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