Healthcare Provider Details

I. General information

NPI: 1396253563
Provider Name (Legal Business Name): DANIEL MARTINEZ CORBIN NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DANIEL MILLARD CORBIN NP-C

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6837 FALLS OF NEUSE RD STE 106
RALEIGH NC
27615-5308
US

IV. Provider business mailing address

6837 FALLS OF NEUSE RD STE 106
RALEIGH NC
27615-5308
US

V. Phone/Fax

Practice location:
  • Phone: 919-238-9555
  • Fax: 919-585-5595
Mailing address:
  • Phone: 919-238-9555
  • Fax: 919-585-5595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5010162
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: