Individual provider · Type 1 NPI
Ethan Brent Cunningham, FNP-C
Primary Care Nurse Practitioner · Ada, MI
NPI number
1083013577
Active
Practice location
523 Edgeworthe Dr SE
Ada, MI 49301-7809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704328016 (MI) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1083013577
Ethan Brent Cunningham, FNP-C's National Provider Identifier is 1083013577, issued on Aug 20, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Ada, MI. The record was last updated on May 13, 2026.