Provider Demographics
NPI:1386952323
Name:MCPHERSON-CUNNINGHAM, ALLETTE LOIS (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:ALLETTE
Middle Name:LOIS
Last Name:MCPHERSON-CUNNINGHAM
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:50 LAKEFRONT BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202
Mailing Address - Country:US
Mailing Address - Phone:716-849-8750
Mailing Address - Fax:480-907-2108
Practice Address - Street 1:50 LAKEFRONT BLVD SUITE 130
Practice Address - Street 2:IPC HEALTHCARE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202
Practice Address - Country:US
Practice Address - Phone:716-849-8750
Practice Address - Fax:877-561-7566
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2015-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF335805-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily