Individual
MINNIE ELLEN CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1103 BELT LINE RD, COLLINSVILLE, IL 62234-4368
(618) 344-2273
Mailing address
539 CHOUTEAU AVE, GRANITE CITY, IL 62040-2712
(618) 979-8940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041335897
IL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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