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Individual

MISTY CORBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-2451
Mailing address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-2451
(304) 257-1263

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
55083
WV
363L00000X
Nurse Practitioner
Primary
112042
WV

Other

Enumeration date
02/10/2017
Last updated
03/18/2022
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