Provider Demographics
NPI:1295375749
Name:TSCHUDI, CINDY KAY (APRN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:KAY
Last Name:TSCHUDI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N MAGDALEN ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-5400
Mailing Address - Country:US
Mailing Address - Phone:325-656-4769
Mailing Address - Fax:
Practice Address - Street 1:102 N MAGDALEN ST STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-5461
Practice Address - Country:US
Practice Address - Phone:325-481-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144464363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner