Provider Demographics
NPI:1881090173
Name:ST. PIERRE, CORRIE VIRGINIA (AGACNP)
Entity type:Individual
Prefix:
First Name:CORRIE
Middle Name:VIRGINIA
Last Name:ST. PIERRE
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:CORRIE
Other - Middle Name:
Other - Last Name:KOLEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 CENTRAL PKWY E
Mailing Address - Street 2:SUITE 275
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5561
Mailing Address - Country:US
Mailing Address - Phone:214-909-9583
Mailing Address - Fax:
Practice Address - Street 1:850 CENTRAL PKWY E
Practice Address - Street 2:SUITE 275
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5561
Practice Address - Country:US
Practice Address - Phone:214-909-9583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126899363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care