Individual provider · Type 1 NPI

Heather Cornwell, CRNP

Pediatric Nurse Practitioner · Frederick, MD

NPI number 1780703876 Active

Practice location

87 Thomas Johnson Dr, Suite 101
Frederick, MD 21702-4301

Fax (301) 662-6928

Mailing address

25221 Bonny Brook Ln
Laytonsville, MD 20882-3724

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR127262 (MD)

Pediatric Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1780703876

Heather Cornwell, CRNP's National Provider Identifier is 1780703876, issued on Mar 28, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Frederick, MD. The record was last updated on Jul 8, 2007.