Corby, Traci Ann

Corby, Traci Ann is an individual health care provider with primary practice located at 12611 World Plaza Ln Bldg 53 , Fort Myers FL 33907-3990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Corby, Traci Ann can be contacted via phone (239) 275-8118.

Contact Information

Primary practice address
12611 World Plaza Ln Bldg 53 Fort Myers FL 33907-3990
Phone: (239) 275-8118
Fax: (239) 275-5914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3165972 Florida

Profile Details

NPI number 1285704858
LBN Legal business name Corby, Traci Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285704858 NPPES
Florida Other ARNP3165972 ARNP LICENSE

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