Andrea Cunningham, APRN-CNP
Nurse Practitioner in Fort Worth, TX. Individual provider (NPI-1).
NPI number1548094063
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1548094063
- Entity type
- Individual (NPI-1)
- Name
- Andrea Cunningham
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1169379 | TX | Yes |
Practice location
2512 Open Range DrFort Worth, TX 76177-2145
Phone 817-888-2761
Mailing address
2512 Open Range DrFort Worth, TX 76177-2145
Phone 817-888-2761
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