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NPI Code Detail

MEDICARE: JANELLE CORCORAN

MEDICARE:   JANELLE  CORCORAN
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
1363LP2300XPrimary Care Nurse PractitionerSP010649PA
2363LF0000XFamily Nurse PractitionerSP010649PA

General Provider Information

NPI Number : 1326378290
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE CORCORAN
Provider Business Mailing Address
First Line : 224 LONGFELLOW ST STE 200
Second Line :
City : VANDERGRIFT
State : PA
Zip : 15690-1476
Country : US
Telephone Number : 724-568-5551
Fax Number :
Provider Business Practice Location Address
First Line : 224 LONGFELLOW ST STE 200
Second Line :
City : VANDERGRIFT
State : PA
Zip : 15690-1476
Country : US
Telephone Number : 724-568-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2009
Last Update Date : 11/13/2025

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Directions to “ JANELLE CORCORAN ” Practice Location

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