BRENNA CORNWALL

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1184455164

Practice Address

921 S 8TH AVE STOP 8253
Pocatello, ID 83209

Phone: (208) 282-4726

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1184455164 is the National Provider Identifier for BRENNA CORNWALL, a Student in an Organized Health Care Education/Training Program provider located in Pocatello, ID. This NPI was enumerated on August 12, 2024.
BRENNA CORNWALL practices at 921 S 8TH AVE STOP 8253, Pocatello, ID 83209.

Quick Facts

NPI
1184455164
Type
Individual
Enumerated
Aug 12, 2024
Last Updated
Aug 12, 2024

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