Individual
MARY L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 884-0771
(573) 884-6292
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
071560
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190040
BLUE SHIELD
MO
05
—
428322101
—
MO
01
—
467112
HEALTHLINK
MO
Enumeration date
06/01/2006
Last updated
05/08/2019
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