Provider Demographics
NPI:1164618971
Name:CUMMINGS, PATRICIA ANQUINETTE (LVN)
Entity Type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:ANQUINETTE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 CLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-1316
Mailing Address - Country:US
Mailing Address - Phone:817-306-2165
Mailing Address - Fax:817-306-2165
Practice Address - Street 1:6440 CLAIRE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-1316
Practice Address - Country:US
Practice Address - Phone:817-306-2165
Practice Address - Fax:817-306-2165
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-15
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX180002164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse