MEDICARE: MS. MERILEE CORBIT RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN00074600	WA

General Provider Information

NPI Number	:	1932448305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MERILEE CORBIT RN

Provider Business Mailing Address
First Line	:	2550 34TH AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-3240
Country	:	US
Telephone Number	:	206-252-1974
Fax Number	:	206-743-3109

Provider Business Practice Location Address
First Line	:	2550 34TH AVE W
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-3240
Country	:	US
Telephone Number	:	206-252-1974
Fax Number	:	206-743-3109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	02/05/2013

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