Individual
PATRICK WILLIAM CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Mailing address
11023 LANE 1 N, MOSCA, CO 81146-9701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
CNP-02213
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
0990643
CO
Other
Enumeration date
07/01/2013
Last updated
10/06/2016
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