Provider Demographics
NPI:1427207547
Name:CUMMINGS, PAMELA GRACE
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:GRACE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PAMELA
Other - Middle Name:GRACE
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6115 THOMAS CORNERS RD
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14171-9755
Mailing Address - Country:US
Mailing Address - Phone:716-592-8434
Mailing Address - Fax:
Practice Address - Street 1:6115 THOMAS CORNERS RD
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:14171-9755
Practice Address - Country:US
Practice Address - Phone:716-592-8434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY364994-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health