Individual
SHALAINE BROOKE CORBILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
2017 1ST AVE, SUITE 100, SAN DIEGO, CA 92101-2033
(619) 881-4500
(619) 291-0959
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
(866) 886-7824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95078056
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95018015
CA
Other
Enumeration date
05/30/2016
Last updated
08/14/2021
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