Provider Demographics
NPI:1225031081
Name:BIGHEART, CYNTHIA A (ARNP, MSN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:BIGHEART
Suffix:
Gender:F
Credentials:ARNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-0746
Mailing Address - Country:US
Mailing Address - Phone:580-242-3870
Mailing Address - Fax:580-242-4046
Practice Address - Street 1:316 W OWEN K GARRIOTT RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5622
Practice Address - Country:US
Practice Address - Phone:580-249-3931
Practice Address - Fax:580-599-6445
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0048498363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100195090BMedicaid