Provider Demographics
NPI:1821378290
Name:COREY, BETTY SALE (RN)
Entity Type:Individual
Prefix:MS
First Name:BETTY
Middle Name:SALE
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 1:153 S MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-2613
Mailing Address - Country:US
Mailing Address - Phone:703-431-3202
Mailing Address - Fax:
Practice Address - Street 1:153 S MARSHALL ST
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-2613
Practice Address - Country:US
Practice Address - Phone:703-431-3202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001141555163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse