Whalio Doctors

NPI 1053461889

Paul M Corbett, CRNA

Practitioner Certified Registered Nurse Anesthetist Fairfax, VA

Practice location

Address
3998 Fair Ridge Drive Suite 320, Fairfax, VA 22033-2921
Phone
(703) 295-9360
Fax
(703) 295-9369
Mailing address
PO Box 37090, Baltimore, MD 21297-3090

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 0024171123 (VA)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 157355 (NC)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 072157 (NC)

Registry record

NPI
1053461889
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jan 2007
Record last updated
28 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.