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Contact Information

TAMMY CORNELIUS, CRNP
1800 AL HIGHWAY 157
SUITE 101
CULLMAN, AL35058-1271
 Phone: 256-734-1012
 Fax: 256-739-3450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TAMMY CORNELIUS · (Female)

NPI Number 1366765232
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 03/08/2010
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-066972
  • AL Medicaid 117960
  • Other E869 GRP MDCR
Hospital affiliation(s)
  • CULLMAN REGIONAL MEDICAL CENTER - (Acute Care)
    1912 ALABAMA HIGHWAY 157
    CULLMAN, AL 35058
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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