Individual
SAMANTHA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 W TIMONIUM RD STE 1C, TIMONIUM, MD 21093-7302
(410) 561-5040
Mailing address
110 W TIMONIUM RD STE 1C, TIMONIUM, MD 21093-7302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R202151
MD
Other
Enumeration date
10/21/2020
Last updated
09/01/2022
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