Individual
SOPHIA MARIE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(866) 204-0911
Mailing address
PO BOX 1459, MINNEAPOLIS, MN 55440-1459
(866) 204-0911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08170737
GA
Other
Enumeration date
05/01/2018
Last updated
08/14/2020
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