Provider Demographics
NPI:1649819368
Name:SEPULVEDA, CYNTHIA NEAL (FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:NEAL
Last Name:SEPULVEDA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:NEAL
Other - Last Name:STEIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5630 E SANTA ANA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-3122
Mailing Address - Country:US
Mailing Address - Phone:714-257-6172
Mailing Address - Fax:
Practice Address - Street 1:5630 E SANTA ANA CANYON RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3122
Practice Address - Country:US
Practice Address - Phone:714-257-6172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011988363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE