| Doctor Name: | CARLIE G CORBIN |
| NPI Number: | 1215244793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 201150186NP |
| Business Practice Address: | 1441 Ne 10th Ave Payette, ID - 836615420 |
| Business Phone Number: | 2086429376 |
| Business Fax Number: | 2086429598 |
| Mailing Address: | 1441 Ne 10th Ave, PAYETTE |
| State: | ID |
| Postal Code: | 836615420 |
| Phone Number: | 2086429376 |
| Fax Number: | 2086429598 |
| NPI Enumeration Date: | 09/07/2010 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 201150186NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |