Provider Demographics
NPI:1851304232
Name:MATHEWS, CYNTHIA POIRE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:POIRE
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BLUE JAY LN
Mailing Address - Street 2:
Mailing Address - City:CAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03223-4745
Mailing Address - Country:US
Mailing Address - Phone:603-536-2502
Mailing Address - Fax:603-536-2503
Practice Address - Street 1:1 WARREN ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1416
Practice Address - Country:US
Practice Address - Phone:603-536-2502
Practice Address - Fax:603-536-2503
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0214672303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010067Medicaid
NH2304012YPN401OtherANTHEM
P88629Medicare UPIN
NH30010067Medicaid