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VICTORIA L CORNELIUS NPI 1720251838


NPI Information

NPI: 1720251838
Provider Name: VICTORIA L CORNELIUS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
2751 N PACKERLAND DR
#103
GREEN BAY, WI
ZIP 54303
Phone: (920) 496-9977
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Victoria L Cornelius is a durable medical equipment medical supplies in Green Bay, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Victoria L Cornelius NPI is 1720251838. 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:

2751 N PACKERLAND DR
#103
GREEN BAY, WI
ZIP 54303-855
Phone: (920) 496-9977

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0588019WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141688500MEDICAIDWISCONSIN
20960800001MEDICARE NSCWISCONSIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.