MEDICARE: KARA ELYSE CUNNINGHAM CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	SP022828	PA
2	163WG0000X	General Practice Registered Nurse	RN633646	PA

General Provider Information

NPI Number	:	1619575768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA ELYSE CUNNINGHAM CRNP

Provider Business Mailing Address
First Line	:	2150 HARRISBURG PIKE STE 200
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-3539
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 HARRISBURG PIKE STE 200
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-3539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2020
Last Update Date	:	06/11/2026

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