Individual
MS. CYNTHIA RAE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
19636 N 27TH AVE, SUITE 106, PHOENIX, AZ 85027
(623) 516-8252
(623) 516-8253
Mailing address
13430 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85254-4058
(623) 334-4000
(623) 334-4400
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
RN097577
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP2610
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP2610
AZ AP
AZ
Enumeration date
11/06/2006
Last updated
05/13/2021
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