Provider Demographics
NPI:1386841765
Name:CORRIGAN, TERESA ANN (DCNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:DCNP, FNP-BC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:JOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DCNP, FNP-BC
Mailing Address - Street 1:5820 LAMAR AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-2655
Mailing Address - Country:US
Mailing Address - Phone:913-631-6330
Mailing Address - Fax:913-631-6222
Practice Address - Street 1:5820 LAMAR AVE STE 200
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-2655
Practice Address - Country:US
Practice Address - Phone:913-631-6330
Practice Address - Fax:913-631-6222
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338074363LF0000X
AZAP5136363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ865934Medicaid
NY07214226Medicaid