Individual provider · Type 1 NPI
Carissa R. Cornell, NP
Nurse Practitioner · Bismarck, ND
Practice location
1221 W Divide Ave Ste 202
Bismarck, ND 58501-1224
Fax (833) 888-7145
Mailing address
500 SW 7th St Ste A205
Renton, WA 98057-2983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R34040 (ND) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1629323605
Carissa R. Cornell, NP's National Provider Identifier is 1629323605, issued on Jul 17, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bismarck, ND. The record was last updated on Mar 11, 2025.