Provider Demographics
NPI:1477534105
Name:CUNNIE, KARIN L (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:L
Last Name:CUNNIE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 COLUMBIAN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:S WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1138
Mailing Address - Country:US
Mailing Address - Phone:781-337-5680
Mailing Address - Fax:781-337-3275
Practice Address - Street 1:549 COLUMBIAN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:S WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1138
Practice Address - Country:US
Practice Address - Phone:781-337-5680
Practice Address - Fax:781-337-3275
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA181421363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0340910Medicaid
MANP2426OtherBCBS
P06314Medicare UPIN
MANP2426Medicare ID - Type Unspecified