Kornilova, Mariya

Kornilova, Mariya is an individual health care provider with primary practice located at 799 Concord Ave , Cambridge MA 02138-1048. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Kornilova, Mariya can be contacted via phone (617) 491-5111.

Contact Information

Primary practice address
799 Concord Ave Cambridge MA 02138-1048
Phone: (617) 491-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2284103 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2284103 Massachusetts

Profile Details

NPI number 1891380499
LBN Legal business name Kornilova, Mariya
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2021
Last updated Nov 14th, 2021 - about 4 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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