Basic Information
Provider Information
NPI: 1760190896
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUMMINGS
FirstName: HOLLY
MiddleName: AUSTIN
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 FOX HOLLOW DR
Address2:  
City: LANCASTER
State: PA
PostalCode: 176021392
CountryCode: US
TelephoneNumber: 7178088974
FaxNumber:  
Practice Location
Address1: 1138 GEORGETOWN ROAD
Address2:  
City: BART
State: PA
PostalCode: 17503
CountryCode: US
TelephoneNumber: 7177864010
FaxNumber: 7177864011
Other Information
ProviderEnumerationDate: 11/08/2022
LastUpdateDate: 11/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN521450LPAN Nursing Service ProvidersRegistered Nurse 
367A00000XMW010708PAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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