Individual
SARA ELIZABETH CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
655 N 16TH ST APT 4, PHILADELPHIA, PA 19130-2949
(856) 577-9122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
SP027140
PA
363L00000X
Nurse Practitioner
Primary
SP027140
PA
363LP0200X
Pediatric Nurse Practitioner
SP027140
PA
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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