Individual
JULIA CORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 S 11TH ST, GIBBON BLDG, SUITE 5480, PHILADELPHIA, PA 19107-4824
(215) 503-7421
(215) 955-8966
Mailing address
111 S 11TH ST, GIBBON BLDG, SUITE 5480, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP010726
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP010726
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102592880
—
PA
Enumeration date
09/02/2010
Last updated
11/10/2016
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