Provider Demographics
NPI:1962467456
Name:LEWIN, CYNTHIA S (ARNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:LEWIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 SERGEANT SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:SERGEANT BLUFF
Mailing Address - State:IA
Mailing Address - Zip Code:51054-7729
Mailing Address - Country:US
Mailing Address - Phone:712-943-2500
Mailing Address - Fax:712-943-5696
Practice Address - Street 1:319 SERGEANT SQUARE DR
Practice Address - Street 2:
Practice Address - City:SERGEANT BLUFF
Practice Address - State:IA
Practice Address - Zip Code:51054-7729
Practice Address - Country:US
Practice Address - Phone:712-943-2500
Practice Address - Fax:712-943-5696
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA059326363LF0000X
NE110627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6827852Medicaid
NE10025457800Medicaid
970009780OtherMEDICARE RAILROAD
IA2423327Medicaid
11264OtherWELLMARK BCBS OF IOWA
11264OtherWELLMARK BCBS OF IOWA
970009780OtherMEDICARE RAILROAD
IAI5361Medicare PIN