Provider Demographics
NPI:1437521697
Name:STOREY-CORNELIUS, APRIL LYNN (APRN-CNP/CRNP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNN
Last Name:STOREY-CORNELIUS
Suffix:
Gender:F
Credentials:APRN-CNP/CRNP
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:LYNN
Other - Last Name:STOREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3004 HAYES AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-5321
Mailing Address - Country:US
Mailing Address - Phone:419-626-6161
Mailing Address - Fax:419-502-3511
Practice Address - Street 1:1044 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1006
Practice Address - Country:US
Practice Address - Phone:419-626-6161
Practice Address - Fax:419-502-3511
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019986363LF0000X
OHAPRN.CNP.18343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0150751Medicaid
OHH267610Medicare PIN