Denise Mary Cornell APN

NPI 1699002709 - Nurse Practitioner - 363LN0005X

NPI Details
NPI 1699002709
Gender Female
Enumeration Date 11/10/2009
Last Updated 11/10/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
530 NE GLEN OAK AVE
PEORIA IL, 61637-0001, US
Phone (309) 655-2000
Fax
Business Location
939 COUNTY ROAD 150 E
WYOMING IL, 61491-9615, US
Phone (309) 493-5891
Fax
Toxanomy
Taxonomy Code 363LN0005X
License State Illinois
License Number 209007863
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According to our database, Denise Mary Cornell APN NPI is 1699002709, taxonomy code is 363LN0005X and license number is 209007863, license state is located at Illinois. Denise Mary Cornell APN physically located at 530 Ne Glen Oak Ave, Peoria IL, 61637-0001. NPI Number Denise Mary Cornell APN has the Individual type.

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1699002709 NPI number is provided on an as is basis without warranty of any kind. 1699002709 is maintained by the National Plan & Provider Enumeration System. The contents of Denise Mary Cornell APN are for informational purposes only.