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NPI Code Detail

MEDICARE: ANGELA AURORA CUNNINGHAM NP-C

MEDICARE: ANGELA AURORA CUNNINGHAM NP-C
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
1363LF0000XFamily Nurse Practitioner3010509KY
2363LF0000XFamily Nurse Practitioner1-078708AL

General Provider Information

NPI Number : 1790169274
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA AURORA CUNNINGHAM NP-C
Provider Business Mailing Address
First Line : 309 TAYLOR ST
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-2421
Country : US
Telephone Number : 256-259-5313
Fax Number : 256-259-4923
Provider Business Practice Location Address
First Line : 3840 GAULT AVE N
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-5211
Country : US
Telephone Number : 256-844-4975
Fax Number : 256-844-4978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2015
Last Update Date : 05/13/2022

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Directions to “ ANGELA AURORA CUNNINGHAM NP-C” Practice Location

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