Healthcare Provider Details

I. General information

NPI: 1699134213
Provider Name (Legal Business Name): ANNA CHRISTINA CUMMINGS MSN, MPH, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2016
Last Update Date: 05/18/2022
Certification Date: 05/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 19TH AVE E
SEATTLE WA
98112-4007
US

IV. Provider business mailing address

2101 E YESLER WAY STE 210
SEATTLE WA
98122-5959
US

V. Phone/Fax

Practice location:
  • Phone: 206-299-1600
  • Fax: 206-299-1608
Mailing address:
  • Phone: 206-299-1900
  • Fax: 206-299-1920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60619486
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN238970
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60641867
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: