Doctor Name: | WENDY M CORBIN |
NPI Number: | 1598898835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | PA3358302 |
Business Practice Address: | 877 3rd St Suite 4 Chipley, FL - 324281827 |
Business Phone Number: | 8506384555 |
Business Fax Number: | 8506389190 |
Mailing Address: | 1340 Forrest Ave, CHIPLEY |
State: | FL |
Postal Code: | 324281716 |
Phone Number: | 8506382077 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | PA3358302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |