Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENNY S CORNELIUS, PA
ActivePhysician Assistant · GREEN BAY, WI
Registration Details
- NPI Number
- 1184609331
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2005 (20.365179783214 yrs)
- Last Updated
- Nov 11, 2008
- License
-
696-023 (WI)
Practice Information
- Address
-
2618 FORESTVILLE DRGREEN BAY, WI, 543041358Browse WI providers · Browse ZIP 54304
- Phone
- 9204961631
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| ANGELA LAMACK | PA | 1285634899 |
| MRS. HEATHER RIESSLAND ALLEN | P.A | 1780675603 |
| TRACEY W BEFAY | PA | 1053395913 |
| MR. HOWARD L RETTMANN | PA-C | 1083698633 |
| ELAINE M SMITH | PA | 1285684662 |
| KURT STEVEN HOLST | PA-C | 1467489047 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.