Provider Demographics
NPI:1689615072
Name:DOWNS, CYNTHIA ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:DOWNS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18820 AURORA AVE N
Mailing Address - Street 2:SUITE 104B
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3900
Mailing Address - Country:US
Mailing Address - Phone:206-542-7118
Mailing Address - Fax:206-542-7338
Practice Address - Street 1:1550 N 115TH ST
Practice Address - Street 2:E170
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8401
Practice Address - Country:US
Practice Address - Phone:206-368-1244
Practice Address - Fax:206-368-1270
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001778363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9622762Medicaid
WA0142812OtherL&I
WAAB36597Medicare ID - Type Unspecified
WA9622762Medicaid
WA0142812OtherL&I