Provider Demographics
NPI:1023589512
Name:TORTORELLA, CYNTHIA (FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:TORTORELLA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2929 N 44TH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7239
Mailing Address - Country:US
Mailing Address - Phone:602-820-8964
Mailing Address - Fax:
Practice Address - Street 1:2929 N 44TH ST STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7239
Practice Address - Country:US
Practice Address - Phone:602-820-8964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ219722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily