Individual
TARA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3508 WORTHINGTON BLVD UNIT 101, FREDERICK, MD 21704-7077
(410) 967-3995
(410) 967-3995
Mailing address
3508 WORTHINGTON BLVD UNIT 101, FREDERICK, MD 21704-7077
(240) 961-8177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R195886
MD
363LF0000X
Family Nurse Practitioner
R195886
MD
Other
Enumeration date
07/07/2025
Last updated
03/08/2026
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