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Individual

ERIN K CORSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
36 LIVELY OAKS ROAD, LIVELY, VA 22507
(804) 462-5155
(804) 462-5922
Mailing address
36 LIVELY OAKS ROAD, LIVELY, VA 22507
(804) 462-5155
(804) 462-5922

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174608
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C05382
GROUP PTAN
VA
Enumeration date
03/02/2017
Last updated
03/02/2017
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