Healthcare Provider Details

I. General information

NPI: 1164222865
Provider Name (Legal Business Name): CORINNE MARIE CURRAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORINNE MARIE COOK

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 S MOUNTAIN AVE
UPLAND CA
91786-7030
US

IV. Provider business mailing address

5194 GODINEZ DR
FONTANA CA
92336-4625
US

V. Phone/Fax

Practice location:
  • Phone: 909-484-1147
  • Fax:
Mailing address:
  • Phone: 626-629-9887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034374
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: