Provider Demographics
NPI:1235871583
Name:CUNNINGHAM, RASIKA ANNE (DNP)
Entity Type:Individual
Prefix:DR
First Name:RASIKA
Middle Name:ANNE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:RASIKA
Other - Middle Name:ANNE
Other - Last Name:FERNANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:416 CONSTANTINE CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3520
Mailing Address - Country:US
Mailing Address - Phone:925-548-7613
Mailing Address - Fax:
Practice Address - Street 1:416 CONSTANTINE CT
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3520
Practice Address - Country:US
Practice Address - Phone:925-548-7613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty