Healthcare Provider Details

I. General information

NPI: 1801768759
Provider Name (Legal Business Name): LANIER MONYE CORBETT BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2025
Last Update Date: 09/20/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 VAN BUREN ST APT 4
BROOKLYN NY
11221-1912
US

IV. Provider business mailing address

232 VAN BUREN ST APT 4
BROOKLYN NY
11221-1912
US

V. Phone/Fax

Practice location:
  • Phone: 717-963-5616
  • Fax:
Mailing address:
  • Phone: 717-963-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number759586
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: