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Individual

TRACI ANN CORBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12611 WORLD PLAZA LN BLDG 53, FORT MYERS, FL 33907-3990
(239) 275-8118
(239) 275-5914
Mailing address
6150 OAK TREE BLVD, STE 200, INDEPENDENCE, OH 44131-2569
(239) 275-8118
(239) 275-5914

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3165972
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP3165972
ARNP LICENSE
FL
Enumeration date
11/09/2006
Last updated
07/21/2022
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