Individual
PATRICIA CORZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Mailing address
1263 HOSPITAL DR NW, SUITE 110, CORYDON, IN 47112-2172
(812) 734-0912
(812) 738-8715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001325
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200381740
—
IN
05
—
200465250
—
IN
01
—
50026824
PASSPORT HEALTH PLANS
KY
05
—
78007044
—
KY
Enumeration date
09/12/2005
Last updated
01/12/2021
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