Individual
HEATHER RENEE CORSIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1792 SAVANNAH LN, STANFIELD, NC 28163-0048
(315) 436-1774
Mailing address
1792 SAVANNAH LN, STANFIELD, NC 28163-0048
(315) 436-1774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
629582
NC
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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