Provider Demographics
NPI:1346238185
Name:KREIL, CYNTHIA JUDY-ANN (CFNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JUDY-ANN
Last Name:KREIL
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LAPEER AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1208
Mailing Address - Country:US
Mailing Address - Phone:989-759-6464
Mailing Address - Fax:989-399-8233
Practice Address - Street 1:1522 JANES AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1819
Practice Address - Country:US
Practice Address - Phone:989-755-0316
Practice Address - Fax:989-755-0956
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704109447363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1346238185Medicaid
500016830OtherRAILROAD MEDICARE
139495OtherGREAT LAKES HEALTH PLAN
1011080OtherMCLAREN HEALTH PLAN
115OtherCOMMUNITY CHOICE OF MI
1011080OtherHEALTH ADVANTAGE PPO
500G310570OtherBCBS OF MICHIGAN
4278657OtherMOLINA HEALTH CARE OF MI
MI1346238185Medicaid
500016830OtherRAILROAD MEDICARE