Provider Demographics
NPI:1609390814
Name:CORSO, WENDY YVONNE (FNP-BC, ENP-C, EMT-P)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:YVONNE
Last Name:CORSO
Suffix:
Gender:F
Credentials:FNP-BC, ENP-C, EMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 LEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6213
Mailing Address - Country:US
Mailing Address - Phone:828-837-4712
Mailing Address - Fax:
Practice Address - Street 1:183 LEDFORD ST
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6213
Practice Address - Country:US
Practice Address - Phone:423-506-2906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-29
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22908363LF0000X
NC5010278363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily