Individual
GLENDA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8600 UNIVERSITY BLVD, EVANSVILLE, IN 47712-3534
(812) 464-8600
Mailing address
8600 UNIVERSITY BLVD, EVANSVILLE, IN 47712-3534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007702
KY
363LF0000X
Family Nurse Practitioner
71004220A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100224930
—
KY
Enumeration date
09/27/2012
Last updated
12/03/2020
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