Beverly Cunningham
Licensed Practical Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1760635882
StatusActive
Last updated in NPPESNov 3, 2008
Details
- NPI
- 1760635882
- Entity type
- Individual (NPI-1)
- Name
- Beverly Cunningham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2008
- Last updated
- Nov 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 256943 | NY | Yes |
Practice location
790 Grand ConcourseBronx, NY 10451-3036
Phone 347-302-3739
Mailing address
790 Grand ConcourseBronx, NY 10451-3036
Phone 347-302-3739
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