Individual
KELLY SUE CORNACCHIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 421-1329
Mailing address
1200 7TH AVENUE NORTH, ST. PETERSBURG, FL 33705
(727) 421-1329
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP1798332
FL
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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