| Doctor Name: | MS. MARCIA S CORNELL |
| NPI Number: | 1184058687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN-BC, ACNS-BC |
| License Number: | COA.13926-NS |
| Business Practice Address: | 13207 Ravenna Rd Chardon, OH - 440247032 |
| Business Phone Number: | 4402856215 |
| Business Fax Number: | 4402856484 |
| Mailing Address: | 13207 Ravenna Rd, CHARDON |
| State: | OH |
| Postal Code: | 440247032 |
| Phone Number: | 4402856215 |
| Fax Number: | 4402856484 |
| NPI Enumeration Date: | 09/03/2013 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | COA.13926-NS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |