Monica Denise Cunningham

Individual provider Active NPI Licensed Practical Nurse · East Cleveland, OH

NPI 1699028225 · NPPES record last updated Jul 23, 2014

Key facts

NPI
1699028225
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
148838 (OH)
Practice address
13712 Mann Ave
East Cleveland, OH 44112-2441
Phone
(216) 374-3281
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
148838OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 148838 OH Yes

Addresses

Primary practice location

13712 Mann Ave
East Cleveland, OH 44112-2441

Mailing address

13712 Mann Ave
East Cleveland, OH 44112-2441
Phone (216) 374-3281

Other providers in East Cleveland, OH

All providers in East Cleveland, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.