Heather Colleen Cornish, RN

Individual provider Active NPI Community Health Registered Nurse · Hornell, NY

NPI 1083243745 · NPPES record last updated Apr 5, 2020

Key facts

NPI
1083243745
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
449458 (NY)
Practice address
28 William St
Hornell, NY 14843-1421
Phone
(607) 661-2175
NPI assigned
Apr 5, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
449458NYMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 449458 NY Yes

Addresses

Primary practice location

28 William St
Hornell, NY 14843-1421

Mailing address

28 William St
Hornell, NY 14843-1421
Phone (607) 661-2175

Other names

  • Ms. Heather Colleen Hanrahan Former name

Other providers in Hornell, NY

All providers in Hornell, NY · Community Health Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.