Provider Demographics
NPI:1255493649
Name:APONTE, CYNTHIA L (NP)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:L
Last Name:APONTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5251 W CAMPBELL AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85031-1719
Mailing Address - Country:US
Mailing Address - Phone:623-217-2810
Mailing Address - Fax:877-441-9647
Practice Address - Street 1:5251 W CAMPBELL AVE STE 207
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031-1719
Practice Address - Country:US
Practice Address - Phone:623-217-2817
Practice Address - Fax:623-217-2810
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN153980363LF0000X
NYF332631363LF0000X
AZAP3142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ376845Medicaid
AZ128761Medicare PIN
AZ1255493649Medicare UPIN
AZZ128761Medicare PIN
Z128761Medicare PIN