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Individual

MS. ANNE GEORGINA CUSHING

Active
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Individual

MS. ANNE GEORGINA CUSHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R14045
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018311
BCBS ND PROVIDER NUMBER
ND
05
—
054519
—
ND
01
—
48B84CU
BCBS MN PROVIDER NUMBER
MN
01
—
500019396
RR MEDICARE PROV NUMBER
ND
Enumeration date
06/14/2006
Last updated
06/07/2012
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