Individual
MR. MORGAN CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
35 MEDICAL CENTER PARKWAY, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Mailing address
822 WASHINGTON AVE, PORTLAND, ME 04103-2732
(734) 846-3075
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA173040
ME
390200000X
Student in an Organized Health Care Education/Training Program
RN67471
ME
Other
Enumeration date
02/16/2016
Last updated
12/11/2017
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