Individual
RALPH GLENN CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN-CNP, FNP-C
Contact information
Practice address
1211 N SHARTEL AVE STE 300, OKLAHOMA CITY, OK 73103-2425
(405) 848-0026
Mailing address
1211 N SHARTEL AVE STE 300, OKLAHOMA CITY, OK 73103-2425
(405) 848-0026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215080
OK
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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