Provider Demographics
NPI:1396406609
Name:CORBIN, JULIA NAMI (RN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:NAMI
Last Name:CORBIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 JACOBS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-8926
Mailing Address - Country:US
Mailing Address - Phone:717-433-7422
Mailing Address - Fax:
Practice Address - Street 1:3500 VICTORIA STREET
Practice Address - Street 2:360A VICTORIA BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-624-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-08
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN730964163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse