Provider Demographics
NPI:1942814942
Name:CORBIN, MARIE D (RN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:D
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 1:351 PASEO NUEVO FL 2
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3382
Mailing Address - Country:US
Mailing Address - Phone:805-280-3168
Mailing Address - Fax:
Practice Address - Street 1:351 PASEO NUEVO FL 2
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3382
Practice Address - Country:US
Practice Address - Phone:805-280-3168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN548602163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health