Individual
SHELLEY CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6338
Mailing address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6338
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN-62039
HI
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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