NPI 1174256952 · live from the CMS NPI Registry
Patrel A Cunningham
Registered Nurse, Gerontology in Philadelphia, PA. National Provider Identifier 1174256952, active.
NPI record
| NPI | 1174256952 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gerontology 163WG0600X |
| Practice location | 5800 Walnut St, Philadelphia, PA 19139 |
| Practice phone | 215-474-4444 |
| Mailing address | 2900 N Harrison St, Wilmington, DE 19802 |
| Enumerated | July 8, 2022 |
| Last updated | July 8, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology | 163WG0600X | R250650 (PA) |
| Registered Nurse, Gerontology primary | 163WG0600X | SP025231 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.