Provider Demographics
NPI:1063221026
Name:GOLDRUP, CORINA LYNN (HEALTH COACH)
Entity type:Individual
Prefix:MS
First Name:CORINA
Middle Name:LYNN
Last Name:GOLDRUP
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 WOODBURY RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-8136
Mailing Address - Country:US
Mailing Address - Phone:207-713-2101
Mailing Address - Fax:
Practice Address - Street 1:165 WOODBURY RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-8136
Practice Address - Country:US
Practice Address - Phone:207-713-2101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach