Individual
ALISA CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7580 BEECHMONT AVE, CINCINNATI, OH 45255-4221
(513) 578-6093
Mailing address
8 CADILLAC DR, SUITE 250, BRENTWOOD, TN 37027-5087
(615) 425-4287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.12128-NP
OH
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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