Cornell, Amie J.

Cornell, Amie J. is an individual health care provider with primary practice located at 100 Mallard Creek Rd Ste 320 , Louisville KY 40207-5136. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Cornell, Amie J. can be contacted via phone (502) 690-8782.

Contact Information

Primary practice address
100 Mallard Creek Rd Ste 320 Louisville KY 40207-5136
Phone: (502) 690-8782
Fax: (502) 459-0923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1085051 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3004739 Kentucky

Profile Details

NPI number 1043211428
LBN Legal business name Cornell, Amie J.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 29th, 2013 - about 11 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 1043211428 NPPES
Kentucky Other 7100030510 KENTUCKY MEDICAID
Kentucky Other K066250 KENTUCKY MEDICAID

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