Gonsalves, Cornelia H.
Gonsalves, Cornelia H. is an individual health care provider with primary practice located at 275 Mammoth Rd Ste 2 , Manchester NH 03109-4133. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child Abuse Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gonsalves, Cornelia H. can be contacted via phone (603) 325-1273.Contact Information
Primary practice address
275 Mammoth Rd Ste 2
Manchester NH 03109-4133
Phone: (603) 325-1273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 074682-23 | New Hampshire |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 074682-23 | New Hampshire |
Profile Details
| NPI number | 1235219320 |
|---|---|
| LBN Legal business name | Gonsalves, Cornelia H. |
| Credentials | MSN,CPNP,APRN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Oct 2nd, 2023 - about 2 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 | 1235219320 | NPPES |
| New Hampshire | MEDICAID | 3106451 |
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