Provider Demographics
NPI:1497941298
Name:BEAM, CYNTHIA M (DC, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:BEAM
Suffix:
Gender:F
Credentials:DC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 GLENARM RD LOT 26
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-9729
Mailing Address - Country:US
Mailing Address - Phone:719-310-2394
Mailing Address - Fax:
Practice Address - Street 1:3375 GLENARM RD LOT 26
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80911-9729
Practice Address - Country:US
Practice Address - Phone:719-310-2394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-15
Last Update Date:2019-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-5786111N00000X
COAPN.0994807-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor