Healthcare Provider Details

I. General information

NPI: 1578626693
Provider Name (Legal Business Name): NANCY CAROL CUMMINGS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 SOUTH HUNGTINGTON AVE SUITE 11 C-26
BOSTON MA
02130
US

IV. Provider business mailing address

150 SOUTH HUNGTINGTON AVE SUITE C11-26 CARDIAC REHAB
BOSTON MA
02130
US

V. Phone/Fax

Practice location:
  • Phone: 857-364-2691
  • Fax: 857-364-5582
Mailing address:
  • Phone: 857-364-2691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number142474
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: