Healthcare Provider Details

I. General information

NPI: 1306589601
Provider Name (Legal Business Name): RACHEL LEIGH CORBIN MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3499 BELMONT AVE
YOUNGSTOWN OH
44505-1807
US

IV. Provider business mailing address

6726 BROOKHOLLOW DR SW
WARREN OH
44481-8645
US

V. Phone/Fax

Practice location:
  • Phone: 330-759-0085
  • Fax:
Mailing address:
  • Phone: 330-509-1925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031179
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.443002
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: