Provider Demographics
NPI:1700841293
Name:WALTER, CYNTHIA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:WALTER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:S
Other - Last Name:WALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CRNP
Mailing Address - Street 1:PO BOX 3510
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15230-3510
Mailing Address - Country:US
Mailing Address - Phone:724-282-2730
Mailing Address - Fax:724-282-3004
Practice Address - Street 1:323 SUNSET DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-282-2730
Practice Address - Fax:724-282-3004
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN299817L163W00000X
PAVP003306G363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAWA977706OtherHIGHMARK
PA1991407OtherHIGHMARK
PAP00248571OtherMEDICARE/RAILROAD CARRIER
PA1991407OtherHIGHMARK
S38904Medicare UPIN
PAWA977706OtherHIGHMARK