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NPI Code Detail

MEDICARE: MS. DEBORAH JEAN CORNELL CNP

MEDICARE: MS. DEBORAH JEAN CORNELL CNP
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
1363LN0005XCritical Care Neonatal Nurse PractitionerNP-01427OH

General Provider Information

NPI Number : 1285737486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH JEAN CORNELL CNP
Provider Business Mailing Address
First Line : 1180 YELLOWSTONE RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1554
Country : US
Telephone Number : 216-291-0748
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line : UHC/DEPT PED-NEONATOLOGY RB&C 6010
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3266
Fax Number : 216-844-3380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 07/08/2007

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