Provider Demographics
NPI:1689810632
Name:LITTLE, CYNTHIANN A (APN)
Entity Type:Individual
Prefix:
First Name:CYNTHIANN
Middle Name:A
Last Name:LITTLE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6840
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89513-6840
Mailing Address - Country:US
Mailing Address - Phone:775-329-5001
Mailing Address - Fax:775-329-6144
Practice Address - Street 1:990 CAUGHLIN XING
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-0631
Practice Address - Country:US
Practice Address - Phone:775-329-5001
Practice Address - Fax:775-329-6144
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001083363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner