Amanda Nicole Corbin, RD
Dietitian, Registered in Madison, IN. Individual provider (NPI-1).
NPI number1861661811
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1861661811
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda Nicole Corbin
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2008
- Certification date
- Jan 26, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1003079 | – | Yes |
Other names
- Amanda Nicole Matthews (Former Name)
Practice location
One Kings Daughters DriveMadison, IN 47250-3300
Phone 812-265-0562 · Fax 812-265-0561
Mailing address
One Kings Daughters DriveMadison, IN 47250-3300
Phone 812-265-0562 · Fax 812-265-0561
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