Individual
ANDREA CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3109 NW 107TH DR, SUNRISE, FL 33351-6865
(754) 246-7292
Mailing address
461 MILL SPRINGS LN, PLANTATION, FL 33325-3517
(754) 246-7292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1912534231
FL
363LA2200X
Adult Health Nurse Practitioner
11006753
FL
363LP2300X
Primary Care Nurse Practitioner
11006753
FL
Other
Enumeration date
03/25/2020
Last updated
06/22/2023
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