Provider Demographics
NPI:1164683652
Name:STEPHENS, CINDY ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:ANN
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:CABRAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN NP
Mailing Address - Street 1:200 MILL RD STE 180
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:363 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-973-7328
Practice Address - Fax:508-973-7282
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251476363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner