Provider Demographics
NPI:1821036427
Name:GROPPER, CYNTHIA E (RN MS ARN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:E
Last Name:GROPPER
Suffix:
Gender:F
Credentials:RN MS ARN
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:E
Other - Last Name:BUZEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 MACARTHUR BLVD
Mailing Address - Street 2:STE 405
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2820
Mailing Address - Country:US
Mailing Address - Phone:219-836-5167
Mailing Address - Fax:219-836-5249
Practice Address - Street 1:801 MACARTHUR BLVD
Practice Address - Street 2:STE 405
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2820
Practice Address - Country:US
Practice Address - Phone:219-836-5167
Practice Address - Fax:219-836-5249
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28090417A163W00000X
IN026867521363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000497818OtherANTHEM BCBS
IN200279340Medicaid
INP00352687OtherMEDICARE RAILROAD
IN233680CMedicare PIN
P16328Medicare UPIN