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NPI Code Detail

MEDICARE: AMY CORNELL

MEDICARE: AMY CORNELL
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1558211805
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CORNELL
Provider Business Mailing Address
First Line : 605 JONES ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1410
Country : US
Telephone Number : 330-240-2261
Fax Number :
Provider Business Practice Location Address
First Line : 165 E PARK AVE
Second Line :
City : NILES
State : OH
Zip : 44446-2352
Country : US
Telephone Number : 330-544-8005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ AMY CORNELL ” Practice Location

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