Provider Demographics
NPI:1881446631
Name:CORWIN, BILLIE NANETTE (FNP-C)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:NANETTE
Last Name:CORWIN
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:NANETTE
Other - Middle Name:BILLIE
Other - Last Name:CORWIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:11601 FOREST RAIN
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-7231
Mailing Address - Country:US
Mailing Address - Phone:512-422-8714
Mailing Address - Fax:
Practice Address - Street 1:11601 FOREST RAIN
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-7231
Practice Address - Country:US
Practice Address - Phone:512-422-8714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1156416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily