Healthcare Provider Details

I. General information

NPI: 1356376990
Provider Name (Legal Business Name): FRANCIS WILLIAM CUDA RNC, FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 GORMAN AVE
ELKINS WV
26241-4109
US

IV. Provider business mailing address

PO BOX 390 909 GORMAN AVE.
ELKINS WV
26241-0390
US

V. Phone/Fax

Practice location:
  • Phone: 304-636-9242
  • Fax: 304-636-8152
Mailing address:
  • Phone: 304-636-9242
  • Fax: 304-636-8152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number31894
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number31894
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: