| NPI | 1578269924 |
|---|---|
| Former Name | BRITTANY LYNN CORNWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 114620) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-09-20 |