Individual
TAMMY J. CORSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Mailing address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001112064
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024112064
VA
Other
Enumeration date
03/09/2006
Last updated
10/27/2022
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