Individual
AMANDA DANIELLE CORALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7250 PARKWAY DR, HANOVER, MD 21076-1388
(443) 949-0814
(443) 949-0825
Mailing address
1002 CARNATION DR, CLARKS SUMMIT, PA 18411-2114
(570) 955-6169
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP030928
PA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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