Provider Demographics
NPI:1417468166
Name:CUMMINGS, CLAIRE ALLISON (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ALLISON
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:ALLISON
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:12 FOREST BROOK RD
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-4425
Mailing Address - Country:US
Mailing Address - Phone:908-329-0088
Mailing Address - Fax:
Practice Address - Street 1:12 FOREST BROOK RD
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-4425
Practice Address - Country:US
Practice Address - Phone:908-329-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-21
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY699141-1163WG0000X
NYF348636-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice