# EMILIZA CORNEJO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306387691
- **Gender:** F
- **Credential:** RN, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 60375819 | WA | — |
| 163W00000X | Registered Nurse | 766723 | CA | — |
| 163W00000X | Registered Nurse | RE2287 | GU | — |
| 363L00000X | Nurse Practitioner | NP0170 | GU | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 10/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | H110140 | — | GU |