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Individual

TRACEY CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-PMH

Contact information

Practice address
114 S WASHINGTON ST, BALTIMORE, MD 21231-1937
(410) 255-1400
Mailing address
5132 KEY VIEW WAY, PERRY HALL, MD 21128-8938
(410) 919-3503

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R166906
MD

Other

Enumeration date
08/04/2014
Last updated
08/04/2014
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