Provider Demographics
NPI:1881915726
Name:CORBITT, RACHELLE HERNANDEZ (RN, MSN, ANP-BC)
Entity type:Individual
Prefix:MS
First Name:RACHELLE
Middle Name:HERNANDEZ
Last Name:CORBITT
Suffix:
Gender:F
Credentials:RN, MSN, ANP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3069 ENGLISH CREEK AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-9708
Mailing Address - Country:US
Mailing Address - Phone:609-377-8516
Mailing Address - Fax:609-377-8520
Practice Address - Street 1:3069 ENGLISH CREEK AVE STE 203
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-9708
Practice Address - Country:US
Practice Address - Phone:609-377-8516
Practice Address - Fax:609-377-8520
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00292400363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health