Individual
MRS. AMANDA LYNN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3200 MACCORKIE AVENUE SE, CHARLESTON, WV 25304
(304) 388-5559
(304) 388-9582
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 756-3078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN38737-CRNA
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067711000
—
WV
01
—
430027586
MEDICARE RR
WV
Enumeration date
10/24/2006
Last updated
03/24/2022
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