Provider Demographics
NPI:1134989361
Name:CORBI, NAOMI MELISSA (RN)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:MELISSA
Last Name:CORBI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 935
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-0935
Mailing Address - Country:US
Mailing Address - Phone:203-770-5621
Mailing Address - Fax:703-448-0591
Practice Address - Street 1:8280 WILLOW OAKS CORPORATE DR STE 600
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4516
Practice Address - Country:US
Practice Address - Phone:203-770-5621
Practice Address - Fax:703-448-0591
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95206054163WG0000X
CT153480163WG0000X
DCRN500009532163WG0000X
VA0001327080163WA2000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator