NPI 1093067274
Anissa Nishira Cornelius, LMCPMIBCLC
Practice location
- Address
- 4545 Fanuel St, San Diego, CA 92109-2904
- Phone
- (858) 900-2004
- Mailing address
- 8550 Gold Coast Dr, San Diego, CA 92126-3606
Registered specialties (2)
Midwife
Primary
Lactation Consultant (Non-RN)
Registry record
- NPI
- 1093067274
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Oct 2012
- Record last updated
- 6 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.