Individual
JAN-MICHAEL B CORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
10210 N 92ND ST STE 202, SCOTTSDALE, AZ 85258-4524
(480) 882-7490
Mailing address
10210 N 92ND ST STE 202, SCOTTSDALE, AZ 85258-4524
(480) 882-7490
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
249250
AZ
Other
Enumeration date
11/03/2020
Last updated
10/04/2023
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