Provider Demographics
NPI:1962522474
Name:CUMMINGS, PETER ANDREW (R N)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:ANDREW
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 GROSVENOR AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-3708
Mailing Address - Country:US
Mailing Address - Phone:401-434-5363
Mailing Address - Fax:
Practice Address - Street 1:85 GROSVENOR AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-3708
Practice Address - Country:US
Practice Address - Phone:401-434-5363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215260163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis