Individual provider · Type 1 NPI

Michael Pat Cornwall, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Fairport, NY

NPI number 1427117381 Active

Practice location

4646 Nine Mile Point Rd
Fairport, NY 14450-1163

Mailing address

2416 East Ave
Rochester, NY 14610-2525

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF301165-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1427117381

Michael Pat Cornwall, NURSE PRACTITIONER's National Provider Identifier is 1427117381, issued on Dec 7, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fairport, NY. The record was last updated on Jul 8, 2007.