Provider Demographics
NPI:1093013773
Name:CUMMINGS, ASHLEY SUE (CNM, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:SUE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:SUE
Other - Last Name:MILLIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, ARNP
Mailing Address - Street 1:2102 N PEARL ST STE 405
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-2550
Mailing Address - Country:US
Mailing Address - Phone:253-752-8822
Mailing Address - Fax:253-752-5400
Practice Address - Street 1:2102 N PEARL ST STE 405
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2550
Practice Address - Country:US
Practice Address - Phone:253-752-8822
Practice Address - Fax:253-752-5400
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60157743367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0296207OtherSTATE L&I
WA0296205OtherSTATE L&I
WA0296231OtherSTATE L&I
WA301629OtherSTATE L&I
WA0296205OtherSTATE L&I
WAG89099920Medicare PIN
WA0296207OtherSTATE L&I