Provider Demographics
NPI:1629436936
Name:HYLTON, CYNISE DANIELLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CYNISE
Middle Name:DANIELLE
Last Name:HYLTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 BRAESMAIN DR
Mailing Address - Street 2:APT 1115
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2940
Mailing Address - Country:US
Mailing Address - Phone:816-522-2528
Mailing Address - Fax:
Practice Address - Street 1:8333 BRAESMAIN DR
Practice Address - Street 2:APT 1115
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2940
Practice Address - Country:US
Practice Address - Phone:816-522-2528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX863105390200000X
TXAP130318363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program