Angel Cunningham, | |
140 Main Ave Apt 24, Nitro, WV 25143-1277 | |
(304) 881-1811 | |
Not Available |
Full Name | Angel Cunningham |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 140 Main Ave Apt 24, Nitro, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932756269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1256 (West Virginia) | Primary |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194759290 PECOS PAC ID: 4587568134 Enrollment ID: O20031125000177 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Public Health/welfare Agency |
Provider Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447618327 PECOS PAC ID: 4587568134 Enrollment ID: O20160913002016 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578073706 PECOS PAC ID: 4587568134 Enrollment ID: O20180312001821 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790276525 PECOS PAC ID: 4587568134 Enrollment ID: O20181102002547 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396237434 PECOS PAC ID: 4587568134 Enrollment ID: O20190517001924 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770745036 PECOS PAC ID: 4587568134 Enrollment ID: O20190806002319 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174106124 PECOS PAC ID: 4587568134 Enrollment ID: O20211028001145 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962045948 PECOS PAC ID: 4587568134 Enrollment ID: O20220526002680 |
Provider Name | Womencare Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730671751 PECOS PAC ID: 4587568134 Enrollment ID: O20221228003052 |
Mailing Address | Practice Location Address |
---|---|
Angel Cunningham, 140 Main Ave Apt 24, Nitro, WV 25143-1277 Ph: (304) 881-1811 | Angel Cunningham, 140 Main Ave Apt 24, Nitro, WV 25143-1277 Ph: (304) 881-1811 |