Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACAELA JO CORNELISSEN, DNP, NNP-BC
Active Sole ProprietorMACAELA JO CORNELISSEN, DNP, NNP-BC is a Neonatal Critical Care Nurse Practitioner healthcare provider located in DE PERE, Wisconsin. NPI 1831775857 is currently active in the NPPES registry. Verify at CMS.
Neonatal Critical Care Nurse Practitioner · DE PERE, WI
Registration Details
- NPI Number
- 1831775857
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2021 (5.4284217039136 yrs)
- Last Updated
- Aug 19, 2024
- Licenses
-
234927 (WI)14025 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1376 PARTRIDGE RDDE PERE, WI, 541159651Browse WI providers · Browse ZIP 54115
- Phone
- 9204195498
- Primary Specialty
-
Neonatal Critical Care Nurse Practitioner
363LN0005X
- Additional Specialty
- Neonatal Critical Care Nurse Practitioner
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.