SearchIdaho183500000X

Mikayla Cornwall, PHARMD

NPI 1609462217 · on the registry since 2020

Practice

Address
190 E Bannock St
Boise, ID 83712
Phone
(208) 381-2222
Organisation at this address
St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
695

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho