Provider Demographics
NPI:1760190896
Name:CUMMINGS, HOLLY AUSTIN (CNM)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:AUSTIN
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 GEORGETOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:BART
Mailing Address - State:PA
Mailing Address - Zip Code:17503
Mailing Address - Country:US
Mailing Address - Phone:717-786-4010
Mailing Address - Fax:
Practice Address - Street 1:1138 GEORGETOWN ROAD
Practice Address - Street 2:
Practice Address - City:BART
Practice Address - State:PA
Practice Address - Zip Code:17503
Practice Address - Country:US
Practice Address - Phone:717-786-4010
Practice Address - Fax:717-786-4011
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN521450L163W00000X
PAMW010708367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse