Individual
MELINDA MARIE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2800 POPLAR ST STE 21A, TERRE HAUTE, IN 47803-2680
(812) 956-0087
Mailing address
2800 POPLAR ST STE 21A, TERRE HAUTE, IN 47803-2680
(812) 564-2053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013036A
IN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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