Gina Cummings, RN

Individual provider Active NPI Administrator Registered Nurse · Wakefield, MI

NPI 1881085017 · NPPES record last updated Feb 10, 2015

Key facts

NPI
1881085017
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
4704250451 (MI)
Practice address
103 W Us2
Wakefield, MI 49968
Phone
(906) 229-6100
NPI assigned
Feb 10, 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704250451MIMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 4704250451 MI Yes

Addresses

Primary practice location

103 W Us2
Wakefield, MI 49968

Mailing address

N11689 Lake Rd
Ironwood, MI 49938-9575

Other providers in Wakefield, MI

All providers in Wakefield, MI · Administrator Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.