Mary Corley, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024170052 Issued in VA

Practice address

408 Esmont CT
Chesapeake, VA 23322-7266

Phone

(757) 389-5736

NPI assigned

Dec 8, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1104155951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 ESMONT CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227266",
            "telephone_number": "757-389-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ESMONT CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227266",
            "telephone_number": "757-389-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010632",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024170052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rena Corbin
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• Core Youth and Family Services, LLC
• Susan T Core
• Heather Cormier, RBT
• Cornell Psychological Services, LLC
• Cornerstone Professional Orthopaedics Sports 4 Christ LLC
• Cornerstone Therapeutic Services
• Cornerstoneconsulting and Assessments,

• Adult Health Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.