MARIYA A. KORNILOVA NP NPI 1891380499

NPI Information

  • NPI: 1891380499
  • Provider Name: MARIYA A. KORNILOVA, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 799 CONCORD AVE
    CAMBRIDGE, MA
    ZIP 02138
  • Phone: (617) 491-5111

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NPI Details

Mariya A. Kornilova, NP is a pediatrics nurse practitioner in Cambridge, MA. Mariya A. Kornilova, NP NPI is 1891380499. 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:

799 CONCORD AVE
CAMBRIDGE, MA
ZIP 02138-048
Phone: (617) 491-5111

The enumeration date for this NPI number is 3/4/2021 and was last updated on 1/15/2025.

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
1163W00000XRegistered NurseRN2284103MASSACHUSETTSNo
2363LP0200XNurse PractitionerPediatricsRN2284103MASSACHUSETTSYes

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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