MRS. ELIZABETH ANN CORNINE FNP-BC NPI 1053797381

NPI Information

  • NPI: 1053797381
  • Provider Name: MRS. ELIZABETH ANN CORNINE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10110 CLEMSON BLVD
    SENECA, SC
    ZIP 29678
  • Phone: (864) 482-3148

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NPI Details

MRS. Elizabeth Ann Cornine, FNP-BC is a family nurse practitioner in Seneca, SC. MRS. Elizabeth Ann Cornine, FNP-BC NPI is 1053797381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10110 CLEMSON BLVD
SENECA, SC
ZIP 29678-812
Phone: (864) 482-3148

The NPI 1053797381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 11/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily19606SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP3398MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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