Individual
MR. BRETT M CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN513131L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
078593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103449780
—
PA
Enumeration date
08/18/2008
Last updated
01/18/2021
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