Provider Demographics
NPI:1497070072
Name:CURTIS, CYNTHIA A
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:CURTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21478 COUNTRYSIDE LN
Mailing Address - Street 2:
Mailing Address - City:LIGNUM
Mailing Address - State:VA
Mailing Address - Zip Code:22726-2010
Mailing Address - Country:US
Mailing Address - Phone:540-229-2154
Mailing Address - Fax:
Practice Address - Street 1:21478 COUNTRYSIDE LN
Practice Address - Street 2:
Practice Address - City:LIGNUM
Practice Address - State:VA
Practice Address - Zip Code:22726-2010
Practice Address - Country:US
Practice Address - Phone:540-229-2154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001102345163WL0100X
174H00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula