Individual
TARA B CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6265 ROCK CHALK DR STE 1500, LAWRENCE, KS 66049-5232
(785) 843-9125
(785) 505-5312
Mailing address
1808 CARMEL DR, LAWRENCE, KS 66047-1852
(207) 350-2626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-80585
KS
Other
Enumeration date
11/17/2021
Last updated
12/11/2024
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