Individual
ELYSSA LAUREN KORBAN
Active
Individual
ELYSSA LAUREN KORBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1048867
TX
364S00000X
Clinical Nurse Specialist
1048867
TX
Other
Enumeration date
10/01/2021
Last updated
08/10/2023
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