Individual
COLLEEN E CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Mailing address
PO BOX 7549, PORTSMOUTH, VA 23707-0549
(757) 686-3525
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003306
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447565361
—
VA
Enumeration date
08/16/2010
Last updated
12/07/2021
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