Provider Demographics
NPI:1376613174
Name:COREY, CONSTANCE ELIZABETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:ELIZABETH
Last Name:COREY
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:COMDT CG-1122 2100 2ND ST SW
Mailing Address - Street 2:US COAST GUARD SUITE 5314
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593-0001
Mailing Address - Country:US
Mailing Address - Phone:202-372-4104
Mailing Address - Fax:
Practice Address - Street 1:COMDT CG-1122 2100 2ND ST SW
Practice Address - Street 2:US COAST GUARD SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:202-372-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health