Provider Demographics
NPI:1891426078
Name:STANSFIELD, CORIN LEIGH (CRNP)
Entity type:Individual
Prefix:
First Name:CORIN
Middle Name:LEIGH
Last Name:STANSFIELD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CORIN
Other - Middle Name:LEIGH
Other - Last Name:KLINGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:409 N 4TH ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-1918
Practice Address - Country:US
Practice Address - Phone:570-286-1482
Practice Address - Fax:570-286-5243
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN631210163W00000X
PASP026025363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty