Provider Demographics
NPI:1992502967
Name:CUNNINGHAM, NATHAN
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:CUNNINGHAM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4123 COLUMBIA SQ APT 302
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-2027
Mailing Address - Country:US
Mailing Address - Phone:330-980-1749
Mailing Address - Fax:
Practice Address - Street 1:4123 COLUMBIA SQ APT 302
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2027
Practice Address - Country:US
Practice Address - Phone:330-980-1749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle