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NPI Code Detail

MEDICARE: MRS. WENDY YVONNE CORSO FNP-BC, ENP-C, EMT-P

MEDICARE:  MRS. WENDY YVONNE CORSO  FNP-BC, ENP-C, EMT-P
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner22908TN
2363LF0000XFamily Nurse Practitioner5010278NC

General Provider Information

NPI Number : 1609390814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY YVONNE CORSO FNP-BC, ENP-C, EMT-P
Provider Business Mailing Address
First Line : 183 LEDFORD ST
Second Line :
City : MURPHY
State : NC
Zip : 28906-6213
Country : US
Telephone Number : 828-837-4712
Fax Number :
Provider Business Practice Location Address
First Line : 183 LEDFORD ST
Second Line :
City : MURPHY
State : NC
Zip : 28906-6213
Country : US
Telephone Number : 423-506-2906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2017
Last Update Date : 02/17/2020

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Directions to “ MRS. WENDY YVONNE CORSO FNP-BC, ENP-C, EMT-P” Practice Location

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