Individual
CARISSA R CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1221 W DIVIDE AVE STE 202, BISMARCK, ND 58501-1224
(877) 522-1275
(833) 888-7145
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(509) 222-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R34040
ND
Other
Enumeration date
07/17/2012
Last updated
03/11/2025
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