Provider Demographics
NPI:1336379353
Name:ALLEN, CYNTHIA ARLENE (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:ARLENE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:CYNTHNIA
Other - Middle Name:ARLENE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-0236
Mailing Address - Country:US
Mailing Address - Phone:812-933-5441
Mailing Address - Fax:
Practice Address - Street 1:112 N BUCKEYE ST
Practice Address - Street 2:
Practice Address - City:OSGOOD
Practice Address - State:IN
Practice Address - Zip Code:47037-1134
Practice Address - Country:US
Practice Address - Phone:812-689-3424
Practice Address - Fax:812-933-5237
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002962A363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN940080Medicare PIN