Provider Demographics
NPI:1790239259
Name:CADWELL, CYNTHIA (NP CNS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:CADWELL
Suffix:
Gender:F
Credentials:NP CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 LILLIAN ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-1541
Mailing Address - Country:US
Mailing Address - Phone:885-877-5737
Mailing Address - Fax:
Practice Address - Street 1:4927 LILLIAN ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-1541
Practice Address - Country:US
Practice Address - Phone:885-877-5737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305674163W00000X
CA799364SA2100X
HI1726364SA2200X
CA10471363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health