Individual
TISHA CORWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
120 N 7TH ST, CHAMBERSBURG, PA 17201-1795
(717) 217-6803
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN555193
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP032851
PA
Other
Enumeration date
04/22/2025
Last updated
05/09/2025
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