Individual
CRYSTAL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
358 W MAIN ST, AVON, CT 06001-3643
(860) 678-8605
Mailing address
89 SWANSON DR, BRISTOL, CT 06010-3153
(860) 655-8392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8238
CT
Other
Enumeration date
06/12/2018
Last updated
08/01/2019
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