Provider Demographics
NPI:1184219628
Name:KASPER, CORINNE (RN)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:KASPER
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 1:368 COUNTY ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-4653
Mailing Address - Country:US
Mailing Address - Phone:518-821-5858
Mailing Address - Fax:
Practice Address - Street 1:368 COUNTY ROUTE 31
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-4653
Practice Address - Country:US
Practice Address - Phone:518-821-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-06
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY525359163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health