Billie Joe Corso, APRN, RN
Individual provider Active NPI Gerontology Nurse Practitioner · Dundee, OH
NPI 1295321305 · NPPES record last updated Mar 30, 2022
Key facts
- NPI
- 1295321305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 0026836 (OH)
- Practice address
- 6902 State Route 93 NW
Dundee, OH 44624-8734 - Phone
- (330) 204-4304
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0026836 | OH | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0026836 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | 0026836 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | 0026836 | OH | Yes |
Addresses
Primary practice location
6902 State Route 93 NW
Dundee, OH 44624-8734
Mailing address
6902 State Route 93 NW
Dundee, OH 44624-8734
Phone (330) 204-4304
Other providers in Dundee, OH
- Cameron Baylor
- Matthew Beachy
- Emily Mugler Biondi
- Megan Bowers
- Renee Dawn Bright
- East Holmes Family Care Inc
- Debra J Estep
- Candace Fiddler
- Heather Gribble
- Angela Dawn Hess
All providers in Dundee, OH · Gerontology Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.