Provider Demographics
NPI:1568016202
Name:HAYES, CYNTHIA OVSHAK (FNP/APRN, MSN, RDMS)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:OVSHAK
Last Name:HAYES
Suffix:
Gender:F
Credentials:FNP/APRN, MSN, RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11192 ASPEN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-1827
Mailing Address - Country:US
Mailing Address - Phone:651-454-9495
Mailing Address - Fax:
Practice Address - Street 1:11192 ASPEN GLEN DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-1827
Practice Address - Country:US
Practice Address - Phone:651-454-9495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003077363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11003077OtherAPRN LICENSE, FL BOARD OF NURSING