Doctor Name: | JANICE R. CUNNINGHAM |
NPI Number: | 1154405405 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R125864 |
Business Practice Address: | Worcester County Health Department 6040 Public Landing Road Snow Hill, MD - 21863 |
Business Phone Number: | 4106321100 |
Business Fax Number: | 4106320906 |
Mailing Address: | 623 Holiday Dr, POCOMOKE CITY |
State: | MD |
Postal Code: | 218519535 |
Phone Number: | 4109572322 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | R125864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |