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
Phone: (573) 884-0771
Fax: (573) 884-6292
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396782025 | NPPES |
Missouri | Other | 190040 | BLUE SHIELD |
Missouri | MEDICAID | 428322101 | BLUE SHIELD |
Missouri | Other | 467112 | BLUE SHIELD |
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