Individual
MRS. SARA RENE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1418 S MAIN ST, SUITE 5, OTTAWA, KS 66067-3543
(785) 242-1620
(785) 242-3825
Mailing address
1418 S MAIN ST, SUITE 5, OTTAWA, KS 66067-3543
(785) 242-1620
(785) 242-3825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45826
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161626
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/18/2006
Last updated
07/09/2007
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