Our Staff | Family Practice Providers

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Our Family Practice providers Carmela Perez, MSN, ARNP, Lydia Miller, ARNP, and Krysta Paciocco, ARNP provide complete physical exams and sports physicals for school athletes. Our primary care providers assess and treat urgent and chronic medical conditions from acne and colds, to high cholesterol and blood pressure, weight loss, anxiety and depression.

Krysta Paciocco, ARNP Family Practice Provider

Krysta’s career in medicine began in 2007 in Detroit where she worked as a nurse in one of the busiest emergency and trauma centers in the state for over 6 years. She transitioned to Washington state in 2014 where she continued her nursing career specializing in gastroenterology. After completing her degree as a Family Nurse Practitioner with South University, Krysta proudly joins the Advanced Women’s Health team.

As a nurse practitioner, Krysta has a passion for women’s health, pediatric and adolescent care and values caring for families as a whole. She has special interest in promoting overall wellness through illness prevention and strives to establish an open, trusting relationship with her patients. She practices with a holistic and collaborative approach to patient care.

Outsid... Read More


Lydia Miller, ARNP Family Practice / Primary Care

Lydia has been working in healthcare since 2000 when she became a licensed midwife. She enjoyed helping new families throughout the childbearing year. Wanting to expand her scope of practice, she decided to return to school, attending Pacific Lutheran University's Nurse Practitioner program. She became Board Certified in Family Practice in 2007 and has since worked in a variety of areas, including Family Practice, Emergency Care and Walk-in Clinic services.

As a partner in patient care, Lydia values an open, respectful and nonjudgmental relationship and looks forward to working with the patients at Advanced Women's Health to achieve their health goals. She believes in the connection of mind, body and spirit, understands the importance of a healthy lifestyle to promote well-being and con... Read More


Carmela Perez, MSN, ARNP Family Practice / Primary Care

Carmela has worked in the medical field since 2007. Her career thus far has ranged from work within medical and surgical units in Las Vegas to ensuring the safety and education of patients in a local gastroenterology clinic.

By attaining her Family Nurse Practitioner degree from University of South Alabama, Carmela feels she has an increased opportunity to help her community by promoting health and wellness and alleviating patient suffering associated with ailment.

Carmela is excited to join Advanced Women's Health. Her goal is to treat every patient with respect while working to improve their quality of life. She individualizes patient care to encourage holistic health that encompasses physical, emotional and spiritual well-being.

Outside of her career, Carmela is a wife and mot... Read More

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