Provider Demographics
NPI:1033485354
Name:HALL, CYNTHIA (EDD, ANP-BC, GNP-BC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:EDD, ANP-BC, GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22777 SPRINGWOODS VILLAGE PKWY
Mailing Address - Street 2:E2.2B.481
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1425
Mailing Address - Country:US
Mailing Address - Phone:832-624-2837
Mailing Address - Fax:
Practice Address - Street 1:22777 SPRINGWOODS VILLAGE PKWY
Practice Address - Street 2:E2.2B.481
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1425
Practice Address - Country:US
Practice Address - Phone:832-624-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647952363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology