Doctor Name: | CHERYL CUNNINGHAM |
NPI Number: | 1346624582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN 3383602 |
Business Practice Address: | 10110 S 7650 East Box 9 Crow Agency, MT - 590220009 |
Business Phone Number: | 4066383500 |
Business Fax Number: | |
Mailing Address: | 37400 Rutledge Dr, ZEPHYRHILLS |
State: | FL |
Postal Code: | 335414203 |
Phone Number: | 8138425185 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2015 |
NPI Last Update Date: | 07/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | RN 3383602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |