Provider Demographics
NPI:1720113327
Name:CORCORAN, MARGARET ELEEN (GNP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELEEN
Last Name:CORCORAN
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ELEEN
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GNP
Mailing Address - Street 1:6095 MARSHALEE DR
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6053
Mailing Address - Country:US
Mailing Address - Phone:410-375-3504
Mailing Address - Fax:410-379-3591
Practice Address - Street 1:6095 MARSHALEE DR
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6053
Practice Address - Country:US
Practice Address - Phone:410-375-3504
Practice Address - Fax:410-379-3591
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN108614363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology