Provider Demographics
NPI:1427738236
Name:CORONA, MARGARET MARIE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARIE
Last Name:CORONA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 YORBA LINDA BLVD APT 150
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-1762
Mailing Address - Country:US
Mailing Address - Phone:714-829-6211
Mailing Address - Fax:
Practice Address - Street 1:13820 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4033
Practice Address - Country:US
Practice Address - Phone:562-944-2181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95022957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty