MRS. ROXANNE KAY CORNELIUS PA-C NPI 1467798231

NPI Information

NPI: 1467798231
Provider Name: MRS. ROXANNE KAY CORNELIUS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
555 MIDTOWNE ST NE
SUITE 110
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 588-8880
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MRS. Roxanne Kay Cornelius, PA-C is a medical physician assistant in Grand Rapids, MI. MRS. Roxanne Kay Cornelius, PA-C NPI is 1467798231. 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:

555 MIDTOWNE ST NE
SUITE 110
GRAND RAPIDS, MI
ZIP 49503-729
Phone: (616) 588-8880

The enumeration date for this NPI number is 12/21/2012 and was last updated on 12/21/2012.

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	363AM0700X	Physician Assistant	Medical	5601003078	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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