Individual
MRS. CARLIE SUE CORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2772 JOHNSON DR STE 100, VENTURA, CA 93003-7261
(805) 642-1430
Mailing address
8592 WELLINGTON ST, VENTURA, CA 93004-2507
(805) 901-0761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95007990
CA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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