Provider Demographics
NPI:1568939395
Name:GUERRERO, CYNTHIA (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 N BROADWAY AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-6939
Mailing Address - Country:US
Mailing Address - Phone:405-395-0399
Mailing Address - Fax:405-395-0330
Practice Address - Street 1:130 N BROADWAY AVE STE 300
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-6939
Practice Address - Country:US
Practice Address - Phone:405-395-0399
Practice Address - Fax:405-395-0330
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK90841363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner