Individual
MRS. CHRISTINA LOUISE CORVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2288
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000032417
BCBS RI
—
01
—
414004
BLUECHIP
—
Enumeration date
11/14/2006
Last updated
06/03/2024
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