Most Relevant Information
Provider Data
| NPI Number: | 1003357211 |
| Provider Name: | WENDY CORKRAN CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R164292 |
Most Important Dates
| Enumeration Date: | 03/20/2017 |
| Last Updated: | 03/20/2017 |
Provider Practice Location
8 E GROVE ST
DELMAR
DE
199401115
Practice Location Phone/Fax
| Phone: | 3028460618 |
| Fax: |
Provider Mailing Location
7226 E RANIER DR
PARSONSBURG
MD
218492506
Provider Mailing Phone/Fax
| Phone: | 7173772837 |
| Fax: |