Individual
DIANE W CUNNINGHAM
Active
Individual
DIANE W CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76727
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200003120A
—
KS
05
—
200003120C
—
KS
05
—
200003120D
—
KS
05
—
429425408
—
MO
01
—
P00836077
RAILROAD MEDICARE
MO
01
—
P00842718
RAILROAD MEDICARE
KS
Enumeration date
06/01/2006
Last updated
11/07/2017
Update your record
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