Andrew, Bridget Cornell
Andrew, Bridget Cornell is an individual health care provider with primary practice located at 1035 Alto St La Familia Medical Center, Santa Fe NM 87501-2406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Andrew, Bridget Cornell can be contacted via phone (505) 982-4425.Contact Information
Primary practice address
1035 Alto St La Familia Medical Center
Santa Fe NM 87501-2406
Phone: (505) 982-4425
Fax: (505) 982-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2009-043 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2822 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 566 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 005692-1 | New York |
Profile Details
| NPI number | 1649279266 |
|---|---|
| LBN Legal business name | Andrew, Bridget Cornell |
| Credentials | PA,MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Jun 17th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649279266 | NPPES |
| New Mexico | MEDICAID | Z4167 |
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