Provider Demographics
NPI:1821612581
Name:PARKHURST, CYNTHIA MICHELE (FNPC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MICHELE
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:MICHELE
Other - Last Name:ROBLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 E CROYDON PARK RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5792
Mailing Address - Country:US
Mailing Address - Phone:520-696-3438
Mailing Address - Fax:520-888-2347
Practice Address - Street 1:50 E CROYDON PARK RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5792
Practice Address - Country:US
Practice Address - Phone:520-696-3438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2021-02-17
Deactivation Date:2021-01-11
Deactivation Code:
Reactivation Date:2021-02-15
Provider Licenses
StateLicense IDTaxonomies
CA809254163W00000X
AZRN170326163W00000X
AZ248855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty