# ELIZABETH CORBETT, PSYCHIATRIC NURSE PRACTITIONER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528315603
- **Authorized official:** MS. ELIZABETH AMOS CORBETT PMHCNS/NP (OWNER)
- **Authorized official phone:** (919) 755-6930

## Contact information

- **Practice address:** 523 WAIT AVE, WAKE FOREST, NC 27587-2727
- **Practice address phone:** (919) 755-6930
- **Practice address fax:** (919) 570-0382
- **Mailing address:** 523 WAIT AVE, WAKE FOREST, NC 27587-2727
- **Mailing address phone:** (919) 755-6930
- **Mailing address fax:** (919) 570-0382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5005032 | NC | Yes |

## Other

- **Enumeration date:** 08/08/2012
- **Last updated:** 08/08/2012