Healthcare Provider Details

I. General information

NPI: 1669498226
Provider Name (Legal Business Name): ISOBEL CORDERO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 01/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 HOSPITAL DR
BREVARD NC
28712
US

IV. Provider business mailing address

501 BILTMORE AVE STE G276.10
ASHEVILLE NC
28801-4601
US

V. Phone/Fax

Practice location:
  • Phone: 828-213-2325
  • Fax: 828-212-2311
Mailing address:
  • Phone: 828-213-4502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9270705
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number006052
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: