Provider Demographics
NPI:1902859432
Name:ZIPP, CYNTHIA
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ZIPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 E 56TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-1766
Mailing Address - Country:US
Mailing Address - Phone:303-295-8713
Mailing Address - Fax:303-298-1862
Practice Address - Street 1:181 E 56TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-1766
Practice Address - Country:US
Practice Address - Phone:303-295-8713
Practice Address - Fax:303-298-1862
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO315752363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804749Medicare ID - Type Unspecified
COQ65305Medicare UPIN