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Individual

MR. PETER EDWARD CUNNIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8772
(717) 231-8435

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP019975
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP019975
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23-2359401
PA
Enumeration date
02/21/2019
Last updated
09/10/2019
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