Provider Demographics
NPI:1043326549
Name:OWENS-MANNS, CYNTHIA RENE (MSN, RN, CNS-BC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:RENE
Last Name:OWENS-MANNS
Suffix:
Gender:F
Credentials:MSN, RN, CNS-BC
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Other - First Name:
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Mailing Address - Street 1:3900 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4551
Mailing Address - Country:US
Mailing Address - Phone:215-823-7811
Mailing Address - Fax:215-222-2593
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-7811
Practice Address - Fax:215-222-2593
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN527879L364SA2200X, 364SG0600X, 364SM0705X
PARN-527879-L163WC1600X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist