Provider Demographics
NPI:1922008234
Name:MARRINER, CINDY LYNN (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LYNN
Last Name:MARRINER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 N. BIG SPRING ST.
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-5752
Mailing Address - Country:US
Mailing Address - Phone:432-682-7473
Mailing Address - Fax:432-682-2427
Practice Address - Street 1:3620 N. BIG SPRING ST.
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705
Practice Address - Country:US
Practice Address - Phone:432-682-7473
Practice Address - Fax:432-682-2427
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX583447363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX583447OtherBNE STATE OF TEXAS
TX154421501Medicaid
TXP63254Medicare UPIN
TX8895B7Medicare PIN