Provider Demographics
NPI:1952461485
Name:PAPPAS, CORNELIA ELLEN (APRN,BC)
Entity Type:Individual
Prefix:MS
First Name:CORNELIA
Middle Name:ELLEN
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 RIVER WATCH LN
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2009
Mailing Address - Country:US
Mailing Address - Phone:410-841-2580
Mailing Address - Fax:410-224-3774
Practice Address - Street 1:3400 N CHARLES ST
Practice Address - Street 2:JOHNS HOPKINS UNIVERSITY AMR 2 STUDENT HEALTH CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2608
Practice Address - Country:US
Practice Address - Phone:410-516-8073
Practice Address - Fax:410-516-4784
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRO75892363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health