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NPI Code Detail

MEDICARE: STEPHANIE F CUNNINGHAM RN

MEDICARE: STEPHANIE F 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 NurseRN100917LA
2225700000XMassage TherapistLA0333LA

General Provider Information

NPI Number : 1972495190
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE F CUNNINGHAM RN
Provider Business Mailing Address
First Line : 69282 HIGHWAY 59 STE 4
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-7676
Country : US
Telephone Number : 985-951-2020
Fax Number : 985-951-2025
Provider Business Practice Location Address
First Line : 69282 HIGHWAY 59 STE 4
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-7676
Country : US
Telephone Number : 985-951-2020
Fax Number : 985-951-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 05/13/2026

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Directions to “ STEPHANIE F CUNNINGHAM RN” Practice Location

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