MR. MICHAEL PAT CORNWALL NURSE PRACTITIONER NPI 1427117381

NPI Information

NPI: 1427117381
Provider Name: MR. MICHAEL PAT CORNWALL, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
4646 NINE MILE POINT RD
FAIRPORT, NY
ZIP 14450
Phone: (585) 377-0350
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MR. Michael Pat Cornwall, NURSE PRACTITIONER is an adult health nurse practitioner in Fairport, NY. MR. Michael Pat Cornwall, NURSE PRACTITIONER NPI is 1427117381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4646 NINE MILE POINT RD
FAIRPORT, NY
ZIP 14450-163
Phone: (585) 377-0350

The enumeration date for this NPI number is 12/7/2006 and was last updated on 7/8/2007.

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
1	363LA2200X	Nurse Practitioner	Adult Health	F301165-1	NEW YORK	Yes

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
1	500006563	OTHER		RAILROAD PROVIDER NUMBER
2	S13570	MEDICARE UPIN	NEW YORK
3	H81090	MEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024

NPI Synchronization or Removal

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