Provider Demographics
NPI:1568523900
Name:APN FIRST ASSISTANTS
Entity Type:Organization
Organization Name:APN FIRST ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:507 PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:APN ACNP
Authorized Official - Phone:314-277-1256
Mailing Address - Street 1:179 SIERRA VILLAGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025
Mailing Address - Country:US
Mailing Address - Phone:314-277-1256
Mailing Address - Fax:
Practice Address - Street 1:179 SIERRA VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025
Practice Address - Country:US
Practice Address - Phone:314-277-1256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty