Cunningham, Mary L

Cunningham, Mary L is an individual health care provider with primary practice located at 1 Hospital Drive , Columbia MO 65212-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Oncology, which is considered as her primary health care specialty. Cunningham, Mary L can be contacted via phone (573) 884-0771.

Contact Information

Primary practice address
1 Hospital Drive Columbia MO 65212-0001
Fax: (573) 884-6292
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 071560 Missouri

Profile Details

NPI number 1396782025
LBN Legal business name Cunningham, Mary L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396782025 NPPES
Missouri Other 190040 BLUE SHIELD
Missouri MEDICAID 428322101 BLUE SHIELD
Missouri Other 467112 BLUE SHIELD

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