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NPI Code Detail

MEDICARE: DIANE ELIZABETH CORRAO RN

MEDICARE: DIANE ELIZABETH CORRAO RN
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
1163W00000XRegistered Nurse548906OH

General Provider Information

NPI Number : 1720910714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE ELIZABETH CORRAO RN
Provider Business Mailing Address
First Line : 8444 N 90TH ST STE 100
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4437
Country : US
Telephone Number : 602-248-8886
Fax Number : 602-854-0504
Provider Business Practice Location Address
First Line : 6300 BROOKPARK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-1219
Country : US
Telephone Number : 440-672-6955
Fax Number : 216-331-1175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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