Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP141635 | TX |
NPI | 1003474941 |
---|---|
Provider Name | Cornelia Alinnor |
First Address | Dallas, TX 75254-7676 |
Second Address | Denton, TX 76208-5910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2019 |
Last Update Date | 05/06/2019 |