Individual
OLIVIA KELLY CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-AC, CPHON
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN145397
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
221734
LA
Other
Enumeration date
03/21/2019
Last updated
08/23/2021
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