Provider Demographics
NPI:1770272205
Name:CUNNINGHAM, ALYSSA ROSE (MSN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ROSE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MSN, WHNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:204 ROSENBERRY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2781
Mailing Address - Country:US
Mailing Address - Phone:954-648-0849
Mailing Address - Fax:
Practice Address - Street 1:5324 MCFARLAND RD STE 300
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6864
Practice Address - Country:US
Practice Address - Phone:919-687-4688
Practice Address - Fax:919-687-4606
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5018040363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health