Maureen Egan Corl, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Cincinnati, OH
NPI 1639411010 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1639411010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 14066-NP (OH)
- Practice address
- 2123 Auburn Avenue
Su. 139
Cincinnati, OH 45219-2609 - Phone
- (513) 206-1170
- Fax
- (513) 206-1172
- NPI assigned
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-14066 | OH | MD | Nurse Practitioner |
| 14066-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Nurse Practitioner | Past | Accepting new patients |
| Middletown Emergency Physicians, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-14066 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | 14066-NP | OH | Yes |
Addresses
Primary practice location
2123 Auburn Avenue
Su. 139
Cincinnati, OH 45219-2609
Mailing address
237 William Howard Taft
2ND Floor, Cbo 2-3
Cincinnati, OH 45219-2609
Phone (513) 206-1170
Other providers in Cincinnati, OH
- Core Home Care LLC
- Robert Corgan
- Molly Cork
- Lisa Chiu Corker
- John David Corl
- Alexandra Myrick Sims Corley
- Megan Brenna Corley
- David Corman
- Mariah Elizabeth Cornacchione
- Christiana Maria Emilia Cornea
All providers in Cincinnati, OH · Adult Health 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 Sep 2, 2016. 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.