Individual
ANDREA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2512 OPEN RANGE DR, FORT WORTH, TX 76177-2145
(817) 888-2761
Mailing address
2512 OPEN RANGE DR, FORT WORTH, TX 76177-2145
(817) 888-2761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1169379
TX
Other
Enumeration date
08/27/2024
Last updated
08/28/2024
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