Provider Demographics
NPI:1508917881
Name:CUMMINGS, DORIS RUTH (RN, ANP, CNM)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:RUTH
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:RN, ANP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 LAUREL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-3106
Mailing Address - Country:US
Mailing Address - Phone:916-344-1860
Mailing Address - Fax:916-344-1862
Practice Address - Street 1:5440 LAUREL HILLS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-3106
Practice Address - Country:US
Practice Address - Phone:916-344-1860
Practice Address - Fax:916-344-1862
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW1546367A00000X
CARN327850163W00000X
CA8712363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANMW015460Medicaid