Individual
MACY CORNWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1015 HIGHWAY 71 S, OKOBOJI, IA 51355-2544
(712) 339-5894
Mailing address
3605 LINCOLN AVE, SPIRIT LAKE, IA 51360-7900
(712) 330-7610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
188979
IA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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