Provider Demographics
NPI:1952606238
Name:KORBE, ANITA M (FNP)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:M
Last Name:KORBE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:201 SIGMA DR
Mailing Address - Street 2:STE 100
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-7715
Mailing Address - Country:US
Mailing Address - Phone:843-302-8840
Mailing Address - Fax:843-569-5882
Practice Address - Street 1:2550 ELMS CENTER RD
Practice Address - Street 2:
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9844
Practice Address - Country:US
Practice Address - Phone:843-302-8840
Practice Address - Fax:843-569-5882
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2016-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC1479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0531Medicaid
SCP01300692OtherRR MEDICARE
SCP847967126Medicare PIN