Individual
MRS. DENISE LYNN CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1835 ODDIE BLVD, SPARKS, NV 89431-3559
(775) 982-5140
(775) 982-5141
Mailing address
780 KUENZLI ST, SUITE 202, RENO, NV 89502-0845
(775) 982-5966
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
APN00188
NV
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN00188
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12019955
CAQH
—
01
—
1477675486
NPI
—
Enumeration date
04/03/2007
Last updated
10/30/2015
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