Provider Demographics
NPI:1275523185
Name:ARRASIN, CYNTHIA A (NP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:ARRASIN
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 1:570 BALDWINVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:BALDWINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01436-1351
Mailing Address - Country:US
Mailing Address - Phone:978-939-2133
Mailing Address - Fax:978-939-8580
Practice Address - Street 1:570 BALDWINVILLE ROAD
Practice Address - Street 2:
Practice Address - City:BALDWINVILLE
Practice Address - State:MA
Practice Address - Zip Code:01436-1351
Practice Address - Country:US
Practice Address - Phone:978-939-2133
Practice Address - Fax:978-939-8580
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA183108363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0316938Medicaid
MA0316938Medicaid
NP0181Medicare ID - Type Unspecified