Individual
EMALEE ANN CORBERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 E VALENCIA MESA DR, 105, FULLERTON, CA 92835-3813
(714) 446-5722
Mailing address
100 E VALENCIA MESA DR STE 105, FULLERTON, CA 92835-3816
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 16940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16940
NPF
CA
01
—
2006010554-22
BOARD CERTIFICATION
CA
01
—
NP 16940
NURSE PRACTITIONER
CA
01
—
RN 563756
RN LICENSE
CA
Enumeration date
03/09/2007
Last updated
10/19/2020
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