Provider Demographics
NPI:1417195009
Name:CUNNINGHAM, KAREN ANTOINETTE LEEMOOK (CRNA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANTOINETTE LEEMOOK
Last Name:CUNNINGHAM
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:3601 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3300
Mailing Address - Country:US
Mailing Address - Phone:954-485-5666
Mailing Address - Fax:954-484-1651
Practice Address - Street 1:3601 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3300
Practice Address - Country:US
Practice Address - Phone:954-485-5666
Practice Address - Fax:954-484-1651
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2022-02-10
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Provider Licenses
StateLicense IDTaxonomies
FLARNP3414842367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered