=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356229975
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HANNA LUCILLE CUMMINS PA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2025
-----------------------------------------------------
Last Update Date | 08/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1122 12TH ST
-----------------------------------------------------
City | HAWARDEN
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51023-1900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-551-3400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1111 11TH ST
-----------------------------------------------------
City | HAWARDEN
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51023-1903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-551-3100
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------