Provider Demographics
NPI:1336128446
Name:COREY, ALLYSON LYN (CRNA)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:LYN
Last Name:COREY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:LYN
Other - Last Name:AHRENS-DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:28578 MARYS CT STE 4
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7436
Mailing Address - Country:US
Mailing Address - Phone:800-222-1335
Mailing Address - Fax:410-819-0712
Practice Address - Street 1:150 KINGSLEY LN
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4602
Practice Address - Country:US
Practice Address - Phone:757-889-5000
Practice Address - Fax:410-819-0712
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168093367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1336128446Medicaid
MI4298005Medicaid