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Individual
TERENCE L CUNNINGHAM
Active
Individual
TERENCE L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007020
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
01
—
5332CU
BLUE SHIELD #
WA
05
—
9648080
—
WA
01
—
P00290252
RAILROAD MC#
WA
01
—
US7114734
AETNA SPECIALIST PIN
WA
Enumeration date
01/12/2007
Last updated
03/28/2017
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