Cornine, Elizabeth Ann

Cornine, Elizabeth Ann is an individual health care provider with primary practice located at 10110 Clemson Blvd , Seneca SC 29678-0812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cornine, Elizabeth Ann can be contacted via phone (864) 482-3148.

Contact Information

Primary practice address
10110 Clemson Blvd Seneca SC 29678-0812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19606 South Carolina

Profile Details

NPI number 1053797381
LBN Legal business name Cornine, Elizabeth Ann
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Nov 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053797381 NPPES
South Carolina MEDICAID NP3398

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