Latricia Waynette Cunningham, is a
Student In An Organized Health Care Education/training Program based in Milwaukee, Wisconsin. Latricia Waynette Cunningham is licensed to practice in * (Not Available) (license number ) and her current practice location is
130 W Bruce St, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 301-3221.
NPI number for Latricia Waynette Cunningham is 1174253546 and her current mailing address is Po Box 13913, Wauwatosa, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174253546.
Healthcare Provider's Profile
| Full Name | Latricia Waynette Cunningham |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 130 W Bruce St, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174253546
- Provider Enumeration Date: 06/16/2022
- Last Update Date: 08/30/2022
Medical Identifiers
Medical identifiers for Latricia Waynette Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174253546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latricia Waynette Cunningham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Latricia Waynette Cunningham,
Po Box 13913,
Wauwatosa, WI 53213-0913
Ph: (414) 301-3221 | Latricia Waynette Cunningham,
130 W Bruce St,
Milwaukee, WI 53204-1667
Ph: (414) 301-3221 |
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