Individual
NANCY CORBETT
Active
Individual
NANCY CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10003334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172759
LABOR AND INDUSTRIES
WA
01
—
6622CO
REGENCE
WA
01
—
P00186955
RAILROAD MEDICARE
WA
Enumeration date
11/02/2006
Last updated
07/08/2007
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