MEDICARE: CORRINA MIA QUAGLIETTA

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
1	163W00000X	Registered Nurse	RN2339896	MA

General Provider Information

NPI Number	:	1144178997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORRINA MIA QUAGLIETTA

Provider Business Mailing Address
First Line	:	10 QUAIL RUN DR
Second Line	:
City	:	METHUEN
State	:	MA
Zip	:	01844-1579
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 QUAIL RUN DR
Second Line	:
City	:	METHUEN
State	:	MA
Zip	:	01844-1579
Country	:	US
Telephone Number	:	978-807-3841
Fax Number	:	978-807-3841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ CORRINA MIA QUAGLIETTA ” Practice Location

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