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NPI Code Detail

MEDICARE: MS. CORNELIA ELLEN PAPPAS APRN,B.C.

MEDICARE: MS. CORNELIA ELLEN PAPPAS APRN,B.C.
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
1363LA2200XAdult Health Nurse PractitionerRO75892MD

General Provider Information

NPI Number : 1952461485
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CORNELIA ELLEN PAPPAS APRN,B.C.
Provider Business Mailing Address
First Line : 1808 RIVER WATCH LN
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-2009
Country : US
Telephone Number : 410-841-2580
Fax Number : 410-224-3774
Provider Business Practice Location Address
First Line : 3400 N CHARLES ST
Second Line : JOHNS HOPKINS UNIVERSITY AMR 2 STUDENT HEALTH CENTER
City : BALTIMORE
State : MD
Zip : 21218-2608
Country : US
Telephone Number : 410-516-8073
Fax Number : 410-516-4784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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