Provider Demographics
NPI:1043923246
Name:RIZZO-CORNIELLE, ROSEMARY LUCIA (FNP-C)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:LUCIA
Last Name:RIZZO-CORNIELLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ROSAMARIA
Other - Middle Name:LUCIA
Other - Last Name:CORNIELLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:220 LENORA LN
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1175
Mailing Address - Country:US
Mailing Address - Phone:215-908-9028
Mailing Address - Fax:
Practice Address - Street 1:220 LENORA LN
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1175
Practice Address - Country:US
Practice Address - Phone:215-908-9028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF01230131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily