Nicole Cunningham, is a
Case Manager/care Coordinator based in Pacoima, California. Nicole Cunningham is licensed to practice in * (Not Available) (license number ) and her current practice location is
11643 Glenoaks Blvd, Pacoima, California. She can be reached at her office (for appointments etc.) via phone at
(818) 897-2609.
NPI number for Nicole Cunningham is 1932663705 and her current mailing address is 4760 Sepulveda Blvd, Culver City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932663705.
Healthcare Provider's Profile
| Full Name | Nicole Cunningham |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 11643 Glenoaks Blvd, Pacoima, California |
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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: 1932663705
- Provider Enumeration Date: 01/25/2019
- Last Update Date: 07/04/2019
Medical Identifiers
Medical identifiers for Nicole Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932663705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Nicole 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 |
|---|
Nicole Cunningham,
4760 Sepulveda Blvd,
Culver City, CA 90230-4820
Ph: (310) 390-6612 | Nicole Cunningham,
11643 Glenoaks Blvd,
Pacoima, CA 91331-1050
Ph: (818) 897-2609 |
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