Individual
MR. BRETT M CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5118
(717) 782-5854
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
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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