Provider Demographics
NPI:1952686222
Name:JAVIER, CYNTHIA ROSE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ROSE
Last Name:JAVIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10170 S EASTERN AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3975
Mailing Address - Country:US
Mailing Address - Phone:702-550-2273
Mailing Address - Fax:
Practice Address - Street 1:10170 S EASTERN AVE STE 160
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3975
Practice Address - Country:US
Practice Address - Phone:702-550-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV860500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily