Pamela Cunningham
Individual provider Active NPI Other Technician · Petersburg, MI
NPI 1285016378 · NPPES record last updated Jun 24, 2015
Key facts
- NPI
- 1285016378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 2663 Summerfield Rd
Petersburg, MI 49270-9511 - Phone
- (734) 279-2595
- NPI assigned
- Jun 24, 2015
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
2663 Summerfield Rd
Petersburg, MI 49270-9511
Mailing address
2663 Summerfield Rd
Petersburg, MI 49270-9511
Phone (734) 279-2595
Other providers in Petersburg, MI
- Jaylynn Bean
- Better at Home
- Jed Michael Crots
- Megan Marie-Josephine Hart
- Lisa Hudgin
- Bethany Kinney
- Ashten Petravicius
- Platinum Senior Solutions LLC
All providers in Petersburg, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.