Provider Demographics
NPI:1487476990
Name:COREAS, MARIA B
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:B
Last Name:COREAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 16TH ST NW # APR53
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3358
Mailing Address - Country:US
Mailing Address - Phone:202-469-2744
Mailing Address - Fax:
Practice Address - Street 1:3150 16TH ST NW APT 53
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3318
Practice Address - Country:US
Practice Address - Phone:202-469-2744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-26
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant