STEPHANIE MARIE CUNNINGHAM PA-C NPI 1659623593

NPI Information

Stephanie Marie Cunningham, PA-C is a medical physician assistant in Grand Rapids, MI with 12 years of experience. Stephanie Marie Cunningham, PA-C NPI is 1659623593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4081 CASCADE RD SE
SUITE A
GRAND RAPIDS, MI
ZIP 49546-170
Phone: (616) 957-3500
Fax: (616) 957-3501

The NPI 1659623593 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 2/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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