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NPI Code Detail

MEDICARE: AUTUMN CUNNINGHAM RN

MEDICARE: AUTUMN CUNNINGHAM RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1-180144AL

General Provider Information

NPI Number : 1174395446
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN CUNNINGHAM RN
Provider Business Mailing Address
First Line : 125 20TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-2019
Country : US
Telephone Number : 205-522-2463
Fax Number :
Provider Business Practice Location Address
First Line : 125 20TH ST S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-2019
Country : US
Telephone Number : 205-522-2463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2023
Last Update Date : 10/30/2023

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Directions to “ AUTUMN CUNNINGHAM RN” Practice Location

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