Provider Demographics
NPI:1083024251
Name:NILSSON CIPHERY, EVA SUSANNA
Entity Type:Individual
Prefix:
First Name:EVA SUSANNA
Middle Name:
Last Name:NILSSON CIPHERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9028 STRANDHILL WAY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2724
Mailing Address - Country:US
Mailing Address - Phone:561-369-4244
Mailing Address - Fax:
Practice Address - Street 1:9028 STRANDHILL WAY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2724
Practice Address - Country:US
Practice Address - Phone:561-369-4244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9221731367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered