Provider Demographics
NPI:1285828053
Name:FRANCO, CYNTHIA PRICE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:PRICE
Last Name:FRANCO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:MICHELLE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:6021 WALLACE ROAD EXT
Mailing Address - Street 2:STE 100
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7399
Mailing Address - Country:US
Mailing Address - Phone:412-204-1270
Mailing Address - Fax:
Practice Address - Street 1:1890 E FLORENCE BLVD
Practice Address - Street 2:STE 4
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-5642
Practice Address - Country:US
Practice Address - Phone:520-426-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102621363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1285828053OtherINDIVIDUAL NPI
FL1376576454OtherGROUP NPI
FLPA9102621OtherFLORIDA LICENSE
FLU2122ZMedicare PIN
FLPA9102621OtherFLORIDA LICENSE
FLQ09554Medicare UPIN
FLK6441Medicare PIN
FLU2122XMedicare PIN
FLDD0030Medicare PIN