Provider Demographics
NPI:1467551101
Name:HOWLETT, CYNTHIA JANINE (CRNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JANINE
Last Name:HOWLETT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:JANINE
Other - Last Name:FLECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7501 MILLENNIUM DR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-8820
Mailing Address - Country:US
Mailing Address - Phone:479-420-7965
Mailing Address - Fax:
Practice Address - Street 1:7501 MILLENNIUM DR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-8820
Practice Address - Country:US
Practice Address - Phone:479-420-7965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC02607367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR162679001Medicaid
OK200095130AMedicaid
5A039Medicare PIN