Individual
KORRINNE IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
12 CASE ST STE 213, NORWICH, CT 06360-2243
(860) 889-5211
Mailing address
12 CASE ST, NORWICH, CT 06360-2222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193905
CT
363LW0102X
Women's Health Nurse Practitioner
10808
CT
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN04636
RI
Other
Enumeration date
06/29/2022
Last updated
05/08/2026
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