Whalio Doctors

NPI 1306387691

Emiliza Cornejo, RNAPRN

Practitioner Nurse Practitioner Dededo, GU

Practice location

Address
133 Route 3, Dededo, GU 96929-6911
Phone
(671) 645-5500
Fax
(671) 645-5549
Mailing address
Psc 78 Box 1082, Apo, AP 96326-0011

Registered specialties (4)

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NP0170 (GU)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 766723 (CA)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 60375819 (WA)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RE2287 (GU)

Registry record

NPI
1306387691
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Mar 2017
Record last updated
17 Oct 2017

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.