Individual
MRS. MALLORY ERIN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 MEDICAL DR, ASHLAND, VA 23005-1125
(804) 798-8307
(804) 798-4204
Mailing address
100 MEDICAL DR, ASHLAND, VA 23005-1125
(804) 798-8307
(804) 798-4204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175232
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05704
MEDICARE PTAN
VA
Enumeration date
08/14/2017
Last updated
10/21/2024
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