Individual
KAYLA ANN CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4831 N 11TH ST, PHOENIX, AZ 85014-3681
(602) 424-2101
(602) 424-2103
Mailing address
4831 N 11TH ST, PHOENIX, AZ 85014-3681
(479) 438-4678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
248005
AZ
Other
Enumeration date
06/24/2020
Last updated
05/13/2024
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