Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA DANIELLE CORALLO, CRNP
ActiveAMANDA DANIELLE CORALLO, CRNP is a Gerontological Nurse Practitioner healthcare provider located in HANOVER, Maryland. NPI 1790506228 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · HANOVER, MD
Registration Details
- NPI Number
- 1790506228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2024 (1.7810113915437 yrs)
- Last Updated
- Oct 17, 2024
- License
-
SP030928 (PA)
Practice Information
- Address
-
7250 PARKWAY DRHANOVER, MD, 210761388Browse MD providers · Browse ZIP 21076
- Phone
- 4439490814
- Fax
- 4439490825
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.