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Individual

SARAH ROSE CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 451-4553
Mailing address
PO BOX 713350, CHICAGO, IL 60677-1392
(502) 559-9337
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013319
KY
363LF0000X
Family Nurse Practitioner
Primary
3013319
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300038225
IN
05
7100650720
KY
Enumeration date
12/04/2019
Last updated
07/14/2023
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