Healthcare Provider Details

I. General information

NPI: 1528534252
Provider Name (Legal Business Name): CORRINE RENEE DEMAREE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. CORRINE RENEE WOODS, BUIE

II. Dates (important events)

Enumeration Date: 10/20/2018
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2674 BRIANLANE BLVD
COLUMBUS OH
43231-1642
US

IV. Provider business mailing address

2674 BRIANLANE BLVD
COLUMBUS OH
43231-1642
US

V. Phone/Fax

Practice location:
  • Phone: 614-974-8792
  • Fax:
Mailing address:
  • Phone: 614-974-8792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN402516
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: