Provider Demographics
NPI:1245280932
Name:ROUNDS, CYNTHIA A (ANP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:ROUNDS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W BENSON BLVD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3679
Mailing Address - Country:US
Mailing Address - Phone:907-929-4009
Mailing Address - Fax:907-929-4902
Practice Address - Street 1:1400 W. BENSON
Practice Address - Street 2:SUITE 315
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3677
Practice Address - Country:US
Practice Address - Phone:907-929-4009
Practice Address - Fax:907-929-4904
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005687363LP0808X
AK804363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKP01052935OtherRAILROAD MEDICARE PIN
WA9632894Medicaid
AKCI1255OtherRAILROAD MEDICARE GROUP
AKNP5750Medicaid
AKP01052935OtherRAILROAD MEDICARE PIN