Randy Dean Cornelius, CRNA
Nurse Anesthetist, Certified Registered in Manchester, IA. Individual provider (NPI-1).
NPI number1831353051
StatusActive
Last updated in NPPESOct 3, 2013
Details
- NPI
- 1831353051
- Entity type
- Individual (NPI-1)
- Name
- Randy Dean Cornelius
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2008
- Last updated
- Oct 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D107246 | IA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 107246 | IA |
Practice location
709 W Main StManchester, IA 52057-1526
Phone 563-927-7356
Mailing address
709 W Main StManchester, IA 52057-1526
Phone 563-927-7356
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All 20 Certified Registered Nurse Anesthetist providers in Manchester · All 209 providers in Manchester
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