Provider Demographics
NPI:1992833602
Name:TEEPLE, CYNTHIA L (APRN, MSN, AOCN, ONP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:TEEPLE
Suffix:
Gender:F
Credentials:APRN, MSN, AOCN, ONP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2535
Mailing Address - Country:US
Mailing Address - Phone:914-701-0001
Mailing Address - Fax:914-701-0002
Practice Address - Street 1:3010 WESTCHESTER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2535
Practice Address - Country:US
Practice Address - Phone:914-701-0001
Practice Address - Fax:914-701-0002
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF37001363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMT0249690OtherDEA