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Individual

MS. DIANE H CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
7801 ACADEMY RD NE, ALBUQUERQUE, NM 87109-3379
(505) 272-2700
(505) 272-6308
Mailing address
80 B VETERANS BLVD, ACOMA, NM 87034
(505) 552-5300
(505) 552-5490

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP1154
NM
363LF0000X
Family Nurse Practitioner
R47159
NM
367A00000X
Advanced Practice Midwife
508
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
86109766
NM
05
H3451
NM
Enumeration date
01/19/2006
Last updated
11/14/2017
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