Individual
PATRICIA LYNN CORRAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584-9668
(717) 740-4434
(717) 740-4451
Mailing address
5 CANDLEWYCK CT, WILLOW STREET, PA 17584-9019
(717) 615-3558
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
164W00000X
Licensed Practical Nurse
PN151599L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
01
PA
Enumeration date
03/05/2019
Last updated
07/17/2023
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