Provider Demographics
NPI:1407500705
Name:ADSON, CYNTHIA (ARNP, FNPBC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ADSON
Suffix:
Gender:F
Credentials:ARNP, FNPBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S YALE ST STE 250
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-7336
Mailing Address - Country:US
Mailing Address - Phone:928-556-0707
Mailing Address - Fax:
Practice Address - Street 1:1501 S YALE ST STE 250
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-7336
Practice Address - Country:US
Practice Address - Phone:928-556-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ246176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily