JAN-MICHAEL B CORELLA (NPI# 1346841848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346841848 |
Entity Type | Individual |
Full Name | JAN-MICHAEL B CORELLA |
Credential | AG-ACNP |
Practice Address |
6749 E Lewis Ave Scottsdale AZ 85257-2008 |
Practice Telephone | 4804331357 |
Mailing Telephone | 4804331357 |
Enumeration Date | 2020-11-03 |
Last Update Date | 2020-11-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
249250 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6749 E LEWIS AVE |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85257-2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639717655 | Bodysculpting Outpatient Surgery Center, LLC | Clinic/Center | 2255 N Scottsdale Road, Scottsdale, AZ 85257 | 2019-12-20 |
1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
1336541754 | Jennifer Ann Leitz | Specialist/Technologist | 1250 N 77th St, Scottsdale, AZ 85257 | 2014-09-17 |
1427465335 | Rachid Daniel Faqir | Chiropractor | 2765 N. Scottsdale Rd., #108, Scottsdale, AZ 85257 | 2014-07-14 |
1831448869 | Maynard Chiropractic & Wellness Center Inc | Chiropractor | 1920 North Scottsdale Rd, Scottsdale, AZ 85257 | 2012-09-06 |
1750663720 | Souad Matkin | Registered Nurse | 701 N Miller Road, Scottsdale, AZ 85257 | 2011-09-15 |
1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
1780905026 | Karen Wister Kearns | Counselor | 1855 N 79th Pl, Scottsdale, AZ 85257 | 2010-06-22 |
Find all providers in zip 85257 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841800828 | Karen Eckhert Patruno | Nurse Practitioner | 6177 E Karen Dr, Scottsdale, AZ 85254-2526 | 2020-08-05 |
1588132096 | Kristina Marie Leonard | Nurse Practitioner | 8632 E Thornwood Dr, Scottsdale, AZ 85251-1853 | 2018-11-02 |
1457867517 | Tamara Kay Mcdonald | Nurse Practitioner | 8602 E Valley Vista Dr, Scottsdale, AZ 85250-5830 | 2017-12-26 |
1982131702 | Randy Kauk | Nurse Practitioner | 10448 E Penstamin Dr, Scottsdale, AZ 85255-2446 | 2017-05-11 |
1760840391 | Elsa Yadira Cedillo | Nurse Practitioner | 8424 E Shea Blvd Suite 101, Scottsdale, AZ 85260 | 2016-02-10 |
1225421340 | Jessica Hadwin | Nurse Practitioner | 9500 E Ironwood Square Dr Unit 118-120, Scottsdale, AZ 85258-4582 | 2015-03-13 |
1558699595 | Susan Samee Eller | Nurse Practitioner | 6501east Greenway Parkway, Suite 3-104, Scottsdale, AZ 85254-2066 | 2009-12-03 |
1659350346 | Barbara Ann Brillhart | Nurse Practitioner | 8117 East Roosevelt, St Community Health Services, Scottsdale, AZ 85257 | 2006-01-11 |
1992792451 | Gayle Stirling Jameson | Nurse Practitioner | 10460 N 92nd St, Suite 200, Scottsdale, AZ 85258-4549 | 2005-09-30 |
1720688443 | Kevin James Marston | Nurse Practitioner | 6602 E Phelps Rd, Scottsdale, AZ 85254-5659 | 2020-10-30 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85257 |
Please comment or provide details below to improve the information on JAN-MICHAEL B CORELLA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.