Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN BRENT CUNNINGHAM, FNP-C
Active Sole ProprietorETHAN BRENT CUNNINGHAM, FNP-C is a Primary Care Nurse Practitioner healthcare provider located in ADA, Michigan. NPI 1083013577 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · ADA, MI
Registration Details
- NPI Number
- 1083013577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2014 (12.016738133571 yrs)
- Last Updated
- Sep 2, 2025
- License
-
4704328016 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
523 EDGEWORTHE DR SEADA, MI, 493017809Browse MI providers · Browse ZIP 49301
- Phone
- 6167458097
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.