Provider Demographics
NPI:1093741589
Name:CUMMINS, VERA A (NP)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:A
Last Name:CUMMINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 HIGH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DECATUR
Mailing Address - State:IN
Mailing Address - Zip Code:46733-2326
Mailing Address - Country:US
Mailing Address - Phone:260-724-2125
Mailing Address - Fax:260-724-3859
Practice Address - Street 1:955 HIGH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:DECATUR
Practice Address - State:IN
Practice Address - Zip Code:46733-2326
Practice Address - Country:US
Practice Address - Phone:260-724-2125
Practice Address - Fax:260-724-3859
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045339A363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care