MEDICARE: VICTORIA CORNISH A.R.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN1016972	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	214754	OTHER	FL	AMERIGROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184607533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA CORNISH A.R.N.P.

Provider Business Mailing Address
First Line	:	PO BOX 1725
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33802-1725
Country	:	US
Telephone Number	:	863-683-5454
Fax Number	:	863-683-4652

Provider Business Practice Location Address
First Line	:	515 E GARDEN ST
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-4615
Country	:	US
Telephone Number	:	863-683-5454
Fax Number	:	863-683-4652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	10/30/2012

Similar Medicare Providers

1386600187 — DR. BERNARDO FRANCISCO MALAGA MD
Practice Location Address:

515 E GARDEN ST STE B
LAKELAND, FL
33805-4615

Practice Phone: 863-588-4775
Practice Fax: 863-422-7664

1962408666 — DR. ELIZABETH CUEVAS VARELA M.D.
Practice Location Address:

515 E GARDEN ST STE B
LAKELAND, FL
33805-4615

Practice Phone: 863-588-4775
Practice Fax: 863-422-7664

1629062393 — DR. RATNAMANI LINGAMALLU M.D.
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

1659365161 — RICHARD D NICHOLS M.D.
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

1992812531 — CENTRAL FLORIDA ENT ASSOCIATES, P.A.
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

1659551315 — MRS. MARCY G. O'BRIEN M.A. CCC-A, F-AAA
Practice Location Address:

515 E GARDEN ST
LAKELAND, FL
33805-4615

Practice Phone: 863-683-5454
Practice Fax: 863-683-4652

Directions to “ VICTORIA CORNISH A.R.N.P.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.