MEDICARE: ANDREA MELISSA AGUILAR CORRALES M.S

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	133N00000X	Nutritionist
2	174H00000X	Health Educator

General Provider Information

NPI Number	:	1801386768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MELISSA AGUILAR CORRALES M.S

Provider Business Mailing Address
First Line	:	1715 LANSING AVE STE 257
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49202-2193
Country	:	US
Telephone Number	:	517-788-4292
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 LANSING AVE STE 257
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49202-2193
Country	:	US
Telephone Number	:	517-788-4292
Fax Number	:

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

Provider Enumeration Date	:	05/16/2018
Last Update Date	:	05/16/2018

Similar Medicare Providers

1780692400 — JACKSON COUNTY
Practice Location Address:

1715 LANSING AVE
JACKSON, MI
49202-2193

Practice Phone: 517-788-4420
Practice Fax: 517-788-4373

1114254299 — MRS. PATRICIA WELLS OCONNELL LMSW
Practice Location Address:

1715 LANSING AVE STE 672
JACKSON, MI
49202-2193

Practice Phone: 517-788-4364
Practice Fax: 517-780-4739

1588991756 — MRS. AMY LYNN JEHNZEN LMSW
Practice Location Address:

1715 LANSING AVE STE 672
JACKSON, MI
49202-2193

Practice Phone: 517-788-4364
Practice Fax: 517-780-4739

1073032355 — JACKSON COUNTY
Practice Location Address:

1715 LANSING AVE
JACKSON, MI
49202-2193

Practice Phone: 517-788-4420
Practice Fax: 517-788-4373

1730697756 — AMY SCHULTZ MD, MPH
Practice Location Address:

1715 LANSING AVE STE 221
JACKSON, MI
49202-2193

Practice Phone: 517-788-4420
Practice Fax:

1053275925 — SARAH WALTERS
Practice Location Address:

1200 N WEST AVE
JACKSON, MI
49202-2179

Practice Phone: 517-789-1200
Practice Fax:

Directions to “ ANDREA MELISSA AGUILAR CORRALES M.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.