Provider Demographics
NPI:1184058331
Name:CORRIGAN, JOANNE (RN)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:CORRIGAN
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 1:1129 E SILKTASSEL TRL
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-4272
Mailing Address - Country:US
Mailing Address - Phone:480-980-8093
Mailing Address - Fax:
Practice Address - Street 1:301 E COMBS RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-9164
Practice Address - Country:US
Practice Address - Phone:480-987-5321
Practice Address - Fax:480-987-5009
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN039815163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse