Provider Demographics
NPI:1275228850
Name:CUNNINGHAM, ALLISON COURTNEY (APRN)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:COURTNEY
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LAKEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE BEACH
Mailing Address - State:MA
Mailing Address - Zip Code:02562-2534
Mailing Address - Country:US
Mailing Address - Phone:781-548-9070
Mailing Address - Fax:
Practice Address - Street 1:8 LAKEWOOD CIR
Practice Address - Street 2:
Practice Address - City:SAGAMORE BEACH
Practice Address - State:MA
Practice Address - Zip Code:02562-2534
Practice Address - Country:US
Practice Address - Phone:781-548-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2258741163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health