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NPI Code Detail

MEDICARE: SANDRA LYNN CORBIN ARNP

MEDICARE: SANDRA LYNN CORBIN ARNP
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
1363LA2200XAdult Health Nurse Practitioner9048CT
2363L00000XNurse Practitioner56283WV
3363L00000XNurse PractitionerR194775MD
4363L00000XNurse PractitionerCOA.05879-NPOH
5207RH0003XHematology & Oncology Physician9048CT
6363LW0102XWomen's Health Nurse Practitioner9048CT
7364SX0200XOncology Clinical Nurse Specialist0024137956VA
8363L00000XNurse PractitionerAP70000929WA
9364SX0200XOncology Clinical Nurse SpecialistAP70000929WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00321795OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11962431346OTHERNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000493421OTHERANTHEM BCBS
5001873033OTHERMOUNTAIN STATE BCBS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962431346
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA LYNN CORBIN ARNP
Provider Business Mailing Address
First Line : 20 YORK ST
Second Line : SMILOW CANCER HOSPITAL
City : NEW HAVEN
State : CT
Zip : 06510-3220
Country : US
Telephone Number : 203-200-3221
Fax Number : 203-200-1517
Provider Business Practice Location Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6077
Country : US
Telephone Number : 203-739-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 11/05/2025

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