Provider Demographics
NPI:1912210154
Name:DANNER, CYNTHIA KLEIN (APRN, NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:KLEIN
Last Name:DANNER
Suffix:
Gender:F
Credentials:APRN, NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 PELICAN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9248
Mailing Address - Country:US
Mailing Address - Phone:504-454-4990
Mailing Address - Fax:
Practice Address - Street 1:528 PELICAN RIDGE DR
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9248
Practice Address - Country:US
Practice Address - Phone:504-454-4990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP01191163WN0002X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care