Kristin Corey
Individual provider Active NPI Nurse Practitioner · Swansea, MA
NPI 1376772079 · NPPES record last updated Jul 2, 2009
Key facts
- NPI
- 1376772079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 260083 (MA)
- Practice address
- 57 Allen Blvd
Swansea, MA 02777-2601 - Phone
- (508) 813-0374
- NPI assigned
- Jul 2, 2009
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260083 | MA | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 260083 | MA | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 260083 | MA | |
| Gerontology Nurse Practitioner | 363LG0600X | 260083 | MA |
Addresses
Primary practice location
57 Allen Blvd
Swansea, MA 02777-2601
Mailing address
57 Allen Blvd.
Swansea, MA 02777
Phone (508) 813-0374
Other providers in Swansea, MA
- Alec Joseph Connell
- Brittany Constant
- Leisha Jean Contant
- Contemporary Chiropractic Neurology
- Anna Bryn Conway
- Brian Costa
- John M F Costa
- Gina Marie Costello
- Heidi Marie Cote
- Susan Cotta
All providers in Swansea, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2009. 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.