Provider Demographics
NPI:1073628269
Name:DAMON, CINDY I (APNP)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:I
Last Name:DAMON
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1905 E HUEBBE PKWY
Mailing Address - Street 2:BELOIT HEALTH SYSTEM INC
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1842
Mailing Address - Country:US
Mailing Address - Phone:608-364-2200
Mailing Address - Fax:608-363-7395
Practice Address - Street 1:1905 E HUEBBE PKWY
Practice Address - Street 2:BELOIT HEALTH SYSTEM INC
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1842
Practice Address - Country:US
Practice Address - Phone:608-364-2200
Practice Address - Fax:608-363-7395
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI110586-030363L00000X
WI938-033363L00000X
WI938-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner