Individual
DR. ELSA VICTORIA CORREA-DELEONARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
217 MAIN ST STE B, REISTERSTOWN, MD 21136-1213
(410) 833-0581
(410) 833-8604
Mailing address
217 MAIN ST STE B, REISTERSTOWN, MD 21136-1213
(410) 833-0581
(410) 833-8604
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R204254
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R204254
MD
Other
Enumeration date
07/26/2018
Last updated
09/13/2018
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