Provider Demographics
NPI:1245606102
Name:ADAM, CYNTHIA SARAH BARBEE (NP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:SARAH BARBEE
Last Name:ADAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 4TH ST STE 202E
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3028
Mailing Address - Country:US
Mailing Address - Phone:858-414-1430
Mailing Address - Fax:
Practice Address - Street 1:1299 4TH ST STE 202E
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3028
Practice Address - Country:US
Practice Address - Phone:800-873-0406
Practice Address - Fax:858-227-2956
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily