Individual
STACEY ANN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
5261 FOUNTAIN DR, CROWN POINT, IN 46307-5322
(219) 922-6802
Mailing address
9788 W 510 S, WESTPOINT, IN 47992-9352
(765) 491-8479
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
119109
IN
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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