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Pamela S Cornwell, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1558753152

Pamela S Cornwell is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Pamela S Cornwell practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Pamela S Cornwell is 1558753152 and holds a License No. 71010035A (Indiana).

The current practice location address for Pamela S Cornwell is 7411 Hope Dr, Fort Wayne, IN and can be reached out via phone at 260-264-5600 and via fax at 260-444-2082.

Location: 7411 Hope Dr, Fort Wayne, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558753152
Provider Name
Pamela S Cornwell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7411 Hope Dr, Fort Wayne, IN, 46219-4959
Phone Number
260-264-5600
Fax Number
260-444-2082
Provider Enumeration Date
02/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100155290 05 IN
institution
Provider Business Practice Location Address Details
Address
7411 Hope Dr
City
Fort Wayne
State
Indiana
Zip
46815-5687
Phone Number
260-264-5600
Fax Number
260-444-2082
person
Provider Business Mailing Address Details
Address
7411 Hope Dr
City
Fort Wayne
State
Indiana
Zip
46815-5687
Phone Number
260-264-5600
Fax Number
260-444-2082
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71010035A (Indiana)
Definition
Definition to come...
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