Healthcare Provider Details

I. General information

NPI: 1801202650
Provider Name (Legal Business Name): MEGAN CUMMINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 05/24/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 WISCONSIN AVE NW APT 623
WASHINGTON DC
20007-2295
US

IV. Provider business mailing address

7 HEREFORD ST APARTMENT 8
BOSTON MA
02115-1601
US

V. Phone/Fax

Practice location:
  • Phone: 724-516-9032
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN1044758
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: