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Individual

MRS. THERESA ROSE COREY

Active
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Individual

MRS. THERESA ROSE COREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9273971
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014476200
FL
01
0402283
UNITED HEALTHCARE
MA
01
80807
FALLON
MA
01
NP2702
BLUE SHIELD
MA
Enumeration date
03/08/2007
Last updated
03/24/2021
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