Provider Demographics
NPI:1013794775
Name:RENE-CUNNINGHAM, CLAUDE H (DNP, APN)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:H
Last Name:RENE-CUNNINGHAM
Suffix:
Gender:F
Credentials:DNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 MOUNT HOPE AVE APT O15
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-1838
Mailing Address - Country:US
Mailing Address - Phone:973-652-7319
Mailing Address - Fax:
Practice Address - Street 1:105 MAIN ST APT 1A
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5421
Practice Address - Country:US
Practice Address - Phone:973-344-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14869600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily