Provider Demographics
NPI:1013224922
Name:CORPENING, DENISE FAYE (RN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:FAYE
Last Name:CORPENING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 GOFFMAN RD
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29044-9198
Mailing Address - Country:US
Mailing Address - Phone:803-972-0895
Mailing Address - Fax:
Practice Address - Street 1:1133 GOFFMAN RD
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:SC
Practice Address - Zip Code:29044-9198
Practice Address - Country:US
Practice Address - Phone:803-972-0895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR79755163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn