Individual
DONNA C CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-6328
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000561413
BCBS
IN
01
—
10000751A
PHYSICIAN ASSISTANT CERT
IN
Enumeration date
05/09/2007
Last updated
01/28/2021
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