Cornejo, Emiliza

Cornejo, Emiliza is an sole proprietor health care provider with primary practice located at 133 Route 3 , Dededo GU 96929-6911. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cornejo, Emiliza can be contacted via phone (671) 645-5500.

Contact Information

Primary practice address
133 Route 3 Dededo GU 96929-6911
Phone: (671) 645-5500
Fax: (671) 645-5549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 766723 California
Nursing Service Providers / Registered Nurse 163W00000X 60375819 Washington
Nursing Service Providers / Registered Nurse 163W00000X RE2287 Guam
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP0170 Guam

Profile Details

NPI number 1306387691
LBN Legal business name Cornejo, Emiliza
Credentials RN, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2017
Last updated Oct 17th, 2017 - 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 1306387691 NPPES
Guam MEDICAID H110140

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