Individual
ITASHIA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13505 US HIGHWAY 1, SEBASTIAN, FL 32958-3759
(772) 257-8224
(772) 213-3157
Mailing address
1545 9TH ST SW, VERO BEACH, FL 32962-4312
(772) 257-8224
(772) 213-3157
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN3199062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN3199062
STATE LICENSE
FL
Enumeration date
08/22/2006
Last updated
04/22/2020
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