Individual
COREY BINGHAM
Active
Individual
COREY BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
10439551-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10439551-4405
UT
Other
Enumeration date
01/07/2025
Last updated
07/10/2025
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