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Alexandrea Marie Corbin

Nurse Practitioner, Family in Bardstown, KY. Individual provider (NPI-1).

NPI number1982168472
StatusActive
Last updated in NPPESFeb 7, 2024

Details

NPI
1982168472
Entity type
Individual (NPI-1)
Name
Alexandrea Marie Corbin
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 29, 2019
Certification date
Feb 7, 2024
Last updated
Feb 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family3013066KYYes

Practice location

201 S 5th St
Bardstown, KY 40004-1142

Phone 502-348-6309 · Fax 502-348-2793

Mailing address

201 S 5th St
Bardstown, KY 40004-1142

Phone 502-348-6309 · Fax 502-348-2793

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