Individual
MARY CAROLINE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 SCIOTO ST, URBANA, OH 43078-2226
(937) 631-7419
Mailing address
1878 WILLOW LAKES DR, SPRINGFIELD, OH 45502-7305
(937) 631-7418
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.023843
OH
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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