Provider Demographics
NPI:1750470894
Name:ALSTON, CYNTHIA E (MSN, APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:E
Last Name:ALSTON
Suffix:
Gender:F
Credentials:MSN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BRONSON TER
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2625
Mailing Address - Country:US
Mailing Address - Phone:413-781-6658
Mailing Address - Fax:412-567-6951
Practice Address - Street 1:167 DWIGHT RD
Practice Address - Street 2:SUITE 208
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1752
Practice Address - Country:US
Practice Address - Phone:413-565-5171
Practice Address - Fax:413-565-5185
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR36414363LP0808X
CTAPRN001050364SP0809X
MARNPC144903364SP0810X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Not Answered364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Not Answered364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family