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Individual

ANNE E CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
201 PENNSYLVANIA PKWY, SUITE 310, INDIANAPOLIS, IN 46280-2301
(317) 843-0000
(317) 573-4064
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28139981
IN
363L00000X
Nurse Practitioner
71001669
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71001669A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200851860
IN
01
P00924296
RAILROAD MEDICARE PTAN
IN
Enumeration date
12/05/2006
Last updated
01/28/2021
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