Provider Demographics
NPI:1326502626
Name:CUMMINGS, MORGAN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 HOLLY CIR
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-1909
Mailing Address - Country:US
Mailing Address - Phone:410-504-4743
Mailing Address - Fax:
Practice Address - Street 1:138 HOLLY CIR
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-1909
Practice Address - Country:US
Practice Address - Phone:410-504-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR181917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily