Leslie Ann Cornwell, CNM | |
1200 6th Ave N, Saint Cloud, MN 56303-2736 | |
(320) 251-2700 | |
Not Available |
Full Name | Leslie Ann Cornwell |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1200 6th Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447591821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 4704266822 (Michigan) | Primary |
176B00000X | Midwife | 4704266822 (Michigan) | Secondary |
Entity Name | Pine Ridge Indian Health Service Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
Mailing Address | Practice Location Address |
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Leslie Ann Cornwell, CNM 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: (320) 251-2700 | Leslie Ann Cornwell, CNM 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: (320) 251-2700 |
Robin Stacey Colburn, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304 Phone: 218-640-2647 Fax: 320-983-2998 | |
Janet D Schwab, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 451 E Saint Germain St, Suite 100, Saint Cloud, MN 56304 Phone: 320-252-9504 |