Provider Demographics
NPI:1497997449
Name:PIKE, CINDY CELISE (CRNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:CELISE
Last Name:PIKE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 GOODYEAR AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1102
Mailing Address - Country:US
Mailing Address - Phone:256-492-9924
Mailing Address - Fax:256-492-9965
Practice Address - Street 1:1026 GOODYEAR AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1102
Practice Address - Country:US
Practice Address - Phone:256-492-9924
Practice Address - Fax:256-492-9965
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALCP.6630363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health