Healthcare Provider Details

I. General information

NPI: 1972447464
Provider Name (Legal Business Name): MEGAN MAREE CORBY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 MEMORIAL DR
OAKLAND MD
21550-4343
US

IV. Provider business mailing address

1027 MEMORIAL DR
OAKLAND MD
21550-4343
US

V. Phone/Fax

Practice location:
  • Phone: 301-533-3300
  • Fax: 833-448-0361
Mailing address:
  • Phone: 301-533-3300
  • Fax: 833-448-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR209378
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: