Mrs. Mallory Erin Cummings
Nurse Practitioner - Adult Health
100 Medical Dr
Ashland
, Virginia 23005-1125
Mrs. Mallory Erin Cummings
Nurse Practitioner - Adult Health
100 Medical Dr
Ashland
, Virginia 23005-1125
(804) 798-4204
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Mallory Erin Cummings
- 100 Medical Dr
- Ashland, VA
- Zip : 23005-1125
- Fax : (804) 798-4204
- Phone : (804) 798-8307
Second Address
- Mrs. Mallory Erin Cummings
- 100 Medical Dr
- Ashland, VA
- Zip : 23005-1125
- Fax : (804) 798-4204
- Phone : (804) 798-8307
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024175232 | VA |
National Provider Identifier
| NPI | 1003332834 |
|---|---|
| Provider Name | Mrs. Mallory Erin Cummings |
| First Address | Ashland, VA 23005-1125 |
| Second Address | Ashland, VA 23005-1125 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2017 |
| Last Update Date | 17/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C05704 | MEDICARE PTAN (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.