Most Relevant Information
Provider Data
| NPI Number: | 1003548959 |
| Provider Name: | KORRINNE IVEY WHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 193905 |
Most Important Dates
| Enumeration Date: | 06/29/2022 |
| Last Updated: | 08/11/2022 |
Provider Practice Location
12 CASE ST STE 213
NORWICH
CT
063602243
Practice Location Phone/Fax
| Phone: | 8608895211 |
| Fax: |
Provider Mailing Location
12 CASE ST
NORWICH
CT
063602222
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |