Individual
ELISE MEGAN CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15 S 1000 E STE 300, PAYSON, UT 84651
(801) 465-4896
(801) 465-0606
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9037470-4405
UT
Other
Enumeration date
10/01/2018
Last updated
10/16/2018
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