Provider Demographics
NPI:1922337104
Name:EARLEY, CYNTHIA ROSANNE (CDM)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ROSANNE
Last Name:EARLEY
Suffix:
Gender:F
Credentials:CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 NORM DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-2366
Mailing Address - Country:US
Mailing Address - Phone:907-748-3378
Mailing Address - Fax:
Practice Address - Street 1:6431 NORM DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-2366
Practice Address - Country:US
Practice Address - Phone:907-748-3378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK104936176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife