Vera A Cummins, N.P.

Individual provider Active NPI Primary Care Nurse Practitioner · Decatur, IN

NPI 1093741589 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093741589
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
01045339A (IN)
Practice address
955 High St
Suite 3
Decatur, IN 46733-2326
Phone
(260) 724-2125
Fax
(260) 724-3859
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
01045339AINMDPrimary Care Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 01045339A IN Yes

Addresses

Primary practice location

955 High St
Suite 3
Decatur, IN 46733-2326

Mailing address

955 High St
Suite 3
Decatur, IN 46733-2326
Phone (260) 724-2125

Other providers in Decatur, IN

All providers in Decatur, IN · Primary Care Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.