Provider Demographics
NPI:1326023854
Name:KEYFAUVER, CYNTHIA L (CRNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:KEYFAUVER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:L
Other - Last Name:KEYFAUVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:1022 BLUE SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2860
Mailing Address - Country:US
Mailing Address - Phone:303-349-4983
Mailing Address - Fax:303-349-4983
Practice Address - Street 1:2204 HOFFMAN DR
Practice Address - Street 2:STE A
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538
Practice Address - Country:US
Practice Address - Phone:970-667-9794
Practice Address - Fax:970-663-6336
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS557148367500000X
CO127868367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42088062Medicaid
NY542927-1OtherLICENSE
CO805236Medicare ID - Type Unspecified
CO42088062Medicaid