AMANDA DANIELLE CORALLO CRNP NPI 1790506228

NPI Information

  • NPI: 1790506228
  • Provider Name: AMANDA DANIELLE CORALLO, CRNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7250 PARKWAY DR
    HANOVER, MD
    ZIP 21076
  • Phone: (443) 949-0814

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NPI Details

Amanda Danielle Corallo, CRNP is a gerontology nurse practitioner in Hanover, MD. Amanda Danielle Corallo, CRNP NPI is 1790506228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7250 PARKWAY DR
HANOVER, MD
ZIP 21076-388
Phone: (443) 949-0814
Fax: (443) 949-0825

The NPI 1790506228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2024 and was last updated on 10/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologySP030928PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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