Healthcare Provider Details
I. General information
NPI: 1407428782
Provider Name (Legal Business Name): CORINNE LEONA SCHENKER MSN, FNP-C, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/15/2021
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8591 CROSSROADS DRIVE
YOUNGSTOWN OH
44514
US
IV. Provider business mailing address
8591 CROSSROADS DRIVE
YOUNGSTOWN OH
44514
US
V. Phone/Fax
- Phone: 330-758-0577
- Fax: 330-758-0466
- Phone: 330-758-0577
- Fax: 330-758-0466
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APRN.CNP.0032775 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0800X |
| Taxonomy | Orthopedic Registered Nurse |
| License Number | RN.444959 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: