Provider Demographics
NPI:1427194844
Name:CORBIN, LEIGH ANN (CRNA)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:CORBIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 440013
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0013
Mailing Address - Country:US
Mailing Address - Phone:615-620-2320
Mailing Address - Fax:615-620-2323
Practice Address - Street 1:1607 SOUTH LOCUST STREET
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464
Practice Address - Country:US
Practice Address - Phone:931-762-6571
Practice Address - Fax:615-620-2323
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN12485367500000X
TNRN115506163W00000X
KYARNP5230A367500000X
ALCRNA1-095074367500000X
ALRN1-095074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4145219OtherBLUE CROSS/BLUE SHIELD OF TN
TNP00426820OtherRR MEDICARE
TN1514420Medicaid
TN01069634OtherAMERIGROUP TENNCARE
TNP00426820OtherRR MEDICARE