Individual
MS. DESTIN RANAE CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14850 QUORUM DR STE 400, DALLAS, TX 75254-1445
(469) 437-3564
(469) 825-6903
Mailing address
14850 QUORUM DR STE 400, DALLAS, TX 75254-1445
(469) 437-3564
(469) 825-6903
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP1126351
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
08/09/2020
Last updated
06/29/2023
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