Provider Demographics
NPI:1063961886
Name:CUNNINGHAM, YALINDA R (STNA)
Entity type:Individual
Prefix:
First Name:YALINDA
Middle Name:R
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 STANWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1203
Mailing Address - Country:US
Mailing Address - Phone:330-310-8807
Mailing Address - Fax:
Practice Address - Street 1:839 STANWOOD AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-1203
Practice Address - Country:US
Practice Address - Phone:330-310-8807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker