Provider Demographics
NPI:1508388679
Name:PETERS, CINDI ANN (RN)
Entity Type:Individual
Prefix:
First Name:CINDI
Middle Name:ANN
Last Name:PETERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6161 N STATE HIGHWAY 161
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2220
Mailing Address - Country:US
Mailing Address - Phone:214-258-7499
Mailing Address - Fax:214-257-0897
Practice Address - Street 1:6161 N STATE HIGHWAY 161
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038
Practice Address - Country:US
Practice Address - Phone:972-258-7499
Practice Address - Fax:972-257-0897
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX660662163W00000X
TXAP134636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse