Individual provider · Type 1 NPI

Korinn Korvette Vandervall

Student in an Organized Health Care Education/Training Program · Scranton, PA

NPI number 1376046441 Active

Practice location

111 North Washington Ave, Suite 1
Scranton, PA 18503-1841

Call (570) 343-2383 Map

Mailing address

1363 W Braymore Cir
Naperville, IL 60564-8290

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376046441

Korinn Korvette Vandervall's National Provider Identifier is 1376046441, issued on Mar 14, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scranton, PA. The record was last updated on Mar 14, 2018.