Provider Demographics
NPI:1619396157
Name:BENNETT, CINTHIA A (APN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CINTHIA
Middle Name:A
Last Name:BENNETT
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 W LOOP 281
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-2820
Mailing Address - Country:US
Mailing Address - Phone:903-759-9355
Mailing Address - Fax:903-759-2606
Practice Address - Street 1:1509 W LOOP 281
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2820
Practice Address - Country:US
Practice Address - Phone:903-759-9355
Practice Address - Fax:903-759-2606
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1097181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily