Provider Demographics
NPI:1356376990
Name:CUDA, FRANCIS WILLIAM (RNC, FNP)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:WILLIAM
Last Name:CUDA
Suffix:
Gender:M
Credentials:RNC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 390
Mailing Address - Street 2:909 GORMAN AVE.
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-0390
Mailing Address - Country:US
Mailing Address - Phone:304-636-9242
Mailing Address - Fax:304-636-8152
Practice Address - Street 1:909 GORMAN AVE
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-4109
Practice Address - Country:US
Practice Address - Phone:304-636-9242
Practice Address - Fax:304-636-8152
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV31894163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001720620OtherBCBS
WV0056511001Medicaid
WV31894OtherWV STATE LICENSE
WV550661804OtherTAX ID
WV550661804OtherTAX ID
WV001720620OtherBCBS