Healthcare Provider Details

I. General information

NPI: 1427194844
Provider Name (Legal Business Name): LEIGH ANN CORBIN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 SOUTH LOCUST STREET
LAWRENCEBURG TN
38464
US

IV. Provider business mailing address

PO BOX 440013
NASHVILLE TN
37244-0013
US

V. Phone/Fax

Practice location:
  • Phone: 931-762-6571
  • Fax: 615-620-2323
Mailing address:
  • Phone: 615-620-2320
  • Fax: 615-620-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN12485
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN115506
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP5230A
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA1-095074
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1-095074
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: