Provider Demographics
NPI:1235536905
Name:COUPET, CYNTHIA (ARNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:COUPET
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7575 NW 44TH ST APT 1804
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-3973
Mailing Address - Country:US
Mailing Address - Phone:954-696-1948
Mailing Address - Fax:
Practice Address - Street 1:5719 NW 74TH AVE
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-6013
Practice Address - Country:US
Practice Address - Phone:954-696-1948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9287571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily