Individual
NICOLE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8000
Mailing address
12 S POTOMAC ST, BALTIMORE, MD 21224-2249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R243324
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021076
OH
Other
Enumeration date
02/08/2023
Last updated
12/11/2024
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