Individual
CORINA STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18780 INTERSTATE 20, CANTON, TX 75103-3593
(903) 567-7748
Mailing address
9604 MILL HOLLOW DR, DALLAS, TX 75243-6214
(214) 287-5223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
675047
TX
363LF0000X
Family Nurse Practitioner
Primary
AP123332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3235356929
—
TX
01
—
P02593037
MCRR
TX
Enumeration date
03/20/2013
Last updated
04/05/2021
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