National Provider Identifier

Amanda Cornwall

Amanda Cornwall is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bath, NY and a listed phone number of (607) 794-8386.

NPI 1891192035Bath, NYLicensed Practical Nurse

Profile Overview

NPI
1891192035
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 03, 2014
Last Updated
December 03, 2014

Practice Location

  • 6 McMaster St
  • Bath, NY 14810-1615

Phone: (607) 794-8386

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1891192035
Entity Type
Individual
Last Name
Cornwall
First Name
Amanda
Name Prefix
Mrs.
Mailing Street Address
6 McMaster St
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-1615
Mailing Country
US
Mailing Phone
(607) 794-8386
Practice Street Address
6 McMaster St
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1615
Practice Country
US
Practice Phone
(607) 794-8386
Enumeration Date
December 03, 2014
Last Updated
December 03, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)