Individual
MS. STEPHANIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733
Mailing address
PO BOX 459, IMPERIAL BEACH, CA 91933-0459
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20857
CA
Other
Enumeration date
03/03/2023
Last updated
03/14/2023
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