Provider Demographics
NPI:1992574875
Name:BIGOT, CORRINNA VALENTINE
Entity type:Individual
Prefix:
First Name:CORRINNA
Middle Name:VALENTINE
Last Name:BIGOT
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 1:215 4TH AVE NE APT A22
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1751
Mailing Address - Country:US
Mailing Address - Phone:320-221-9367
Mailing Address - Fax:
Practice Address - Street 1:24851 670TH AVE
Practice Address - Street 2:
Practice Address - City:DARWIN
Practice Address - State:MN
Practice Address - Zip Code:55324-5249
Practice Address - Country:US
Practice Address - Phone:320-237-6269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide