MEDICARE: EMILY CORAZZI

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	363A00000X	Physician Assistant	136524	IA

General Provider Information

NPI Number	:	1154156099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CORAZZI

Provider Business Mailing Address
First Line	:	701 10TH ST SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-1251
Country	:	US
Telephone Number	:	319-398-6297
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 10TH ST SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-1251
Country	:	US
Telephone Number	:	319-398-6297
Fax Number	:

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

Provider Enumeration Date	:	09/02/2024
Last Update Date	:	02/09/2026

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Directions to “ EMILY CORAZZI ” Practice Location

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