Provider Demographics
NPI:1598092694
Name:MUNDY, CYNTHIA ALLYSON (RN, NNP-BC, DNP)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ALLYSON
Last Name:MUNDY
Suffix:
Gender:F
Credentials:RN, NNP-BC, DNP
Other - Prefix:
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Mailing Address - Street 1:1120 15TH ST
Mailing Address - Street 2:BT 5602
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-721-2286
Mailing Address - Fax:706-721-8638
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:DEPT OF PEDIATRICS / SECTION OF NEONATOLOGY BT 5602
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-2286
Practice Address - Fax:706-721-8638
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN139537NP363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care