Ghana Cornelius
Individual provider Active NPI Athletic Trainer · Lock Haven, PA
NPI 1871271981 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1871271981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 232 W Church St Apt 3
Lock Haven, PA 17745-1200 - Phone
- (717) 580-9079
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
232 W Church St Apt 3
Lock Haven, PA 17745-1200
Mailing address
232 W Church St Apt 3
Lock Haven, PA 17745-1200
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All providers in Lock Haven, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.