Cornish, Victoria

Cornish, Victoria is an individual health care provider with primary practice located at 515 E Garden St , Lakeland FL 33805-4615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cornish, Victoria can be contacted via phone (863) 683-5454.

Contact Information

Primary practice address
515 E Garden St Lakeland FL 33805-4615
Phone: (863) 683-5454
Fax: (863) 683-4652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN1016972 Florida

Profile Details

NPI number 1184607533
LBN Legal business name Cornish, Victoria
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Oct 30th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184607533 NPPES
Florida MEDICAID 303028800
Florida Other 214754

Popular Providers