Individual
LAURA CUNNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 GEORGETOWN PL, CHARLESTON, WV 25314-1866
(304) 543-2764
Mailing address
202 GEORGETOWN PL, CHARLESTON, WV 25314-1866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN61355-NP-C
WV
363LF0000X
Family Nurse Practitioner
APRN61355NP
WV
Other
Enumeration date
10/09/2017
Last updated
12/13/2019
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