Provider Demographics
NPI:1538860606
Name:CUNNINGHAM, ABIGAIL JOYCE
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JOYCE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 ELLIOTT ST
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1432
Mailing Address - Country:US
Mailing Address - Phone:517-862-3878
Mailing Address - Fax:
Practice Address - Street 1:2034 ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1432
Practice Address - Country:US
Practice Address - Phone:517-862-3878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula