Individual
MAUREEN TERESA CUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
13410 MAIN STREET, GRABILL, IN 46741-2001
(260) 969-6600
(260) 969-3067
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595568
ANTHEM
IN
01
—
000000659395
ANTHEM
IN
05
—
20001107C
—
IN
05
—
200326500
—
IN
01
—
P00867126
MEDICARE RR
IN
Enumeration date
11/17/2006
Last updated
03/26/2013
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