Individual
MARY ANTOINETTE COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
801 6TH ST S, ST PETERSBURG, FL 33701-4816
(727) 767-8469
Mailing address
1031 EDEN ISLE DR NE, ST PETERSBURG, FL 33704-1705
(727) 767-8469
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1882892
FL
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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