Individual
BRIDGETT L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCFNP
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7484
Mailing address
PO BOX 88, 5 E ALVON ROAD SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56008
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062972
BRICK STREET (WV COMP)
WV
01
—
1164446274
MTN BCBS
WV
05
—
2851605
—
OH
05
—
7100066230
—
KY
05
—
7104198000
—
WV
Enumeration date
07/26/2006
Last updated
10/15/2011
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