Provider Demographics
NPI:1083602395
Name:DOYSCHER, CINDY (FNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:DOYSCHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 COURTLAND E
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-1200
Mailing Address - Country:US
Mailing Address - Phone:952-442-4997
Mailing Address - Fax:
Practice Address - Street 1:550 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-1763
Practice Address - Country:US
Practice Address - Phone:952-442-2137
Practice Address - Fax:952-442-5960
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR084250-1363LX0001X
MNR 084250-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN070913100Medicaid
MN500003587Medicare UPIN
MN070913100Medicaid