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NPI Code Detail

MEDICARE: ALLYSON LYN COREY CRNA

MEDICARE: ALLYSON LYN COREY CRNA
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
1367500000XCertified Registered Nurse Anesthetist0024168093VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336128446
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON LYN COREY CRNA
Provider Business Mailing Address
First Line : 28578 MARYS CT STE 4
Second Line :
City : EASTON
State : MD
Zip : 21601-7436
Country : US
Telephone Number : 800-222-1335
Fax Number : 410-819-0712
Provider Business Practice Location Address
First Line : 150 KINGSLEY LN
Second Line :
City : NORFOLK
State : VA
Zip : 23505-4602
Country : US
Telephone Number : 757-889-5000
Fax Number : 410-819-0712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 05/22/2019

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Directions to “ ALLYSON LYN COREY CRNA” Practice Location

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