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Individual

ELIZABETH ANN CORNELIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
22361 OAK RIDGE DR, SHELL KNOB, MO 65747-7822
(417) 858-3731
Mailing address
111 LARAY ST, CASSVILLE, MO 65625-1817
(417) 342-0257

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024020476
MO

Other

Enumeration date
06/07/2024
Last updated
06/07/2024
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