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NPI Code Detail

MEDICARE: MRS. AVA MARIA WILLAIMS-CORNELIUS REGISTERED NURSE

MEDICARE: MRS. AVA MARIA WILLAIMS-CORNELIUS REGISTERED NURSE
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
1163WS0200XSchool Registered NurseRNO43598AZ

General Provider Information

NPI Number : 1457409922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AVA MARIA WILLAIMS-CORNELIUS REGISTERED NURSE
Provider Business Mailing Address
First Line : 235 W WESTERN AVE
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-1848
Country : US
Telephone Number : 623-772-5000
Fax Number :
Provider Business Practice Location Address
First Line : 235 W WESTERN AVE
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-1848
Country : US
Telephone Number : 623-772-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. AVA MARIA WILLAIMS-CORNELIUS REGISTERED NURSE” Practice Location

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