Provider Demographics
NPI:1386991693
Name:CUNIC, KRISTEN SUE (CRNP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:SUE
Last Name:CUNIC
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROOKS LN STE 285
Mailing Address - Street 2:
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3764
Mailing Address - Country:US
Mailing Address - Phone:412-894-2492
Mailing Address - Fax:724-292-9155
Practice Address - Street 1:1200 BROOKS LN STE 285
Practice Address - Street 2:
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3764
Practice Address - Country:US
Practice Address - Phone:412-894-2492
Practice Address - Fax:724-292-9155
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012244363L00000X
PASPO12244363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care