Individual
MRS. ELIZABETH ANN CORNINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10110 CLEMSON BLVD, SENECA, SC 29678-0812
(864) 482-3148
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19606
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3398
—
SC
Enumeration date
08/10/2015
Last updated
11/27/2018
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