Provider Demographics
NPI:1669519377
Name:BURR, CYNTHIA M (ARNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:BURR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:M
Other - Last Name:PAHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3465 MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2324
Mailing Address - Country:US
Mailing Address - Phone:563-263-0339
Mailing Address - Fax:563-263-5081
Practice Address - Street 1:3465 MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2324
Practice Address - Country:US
Practice Address - Phone:563-263-0339
Practice Address - Fax:563-263-5081
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-087007363L00000X, 363LC1500X, 363LF0000X
IL209006305363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0400642Medicaid
IA1669519377Medicaid
IA0400642Medicaid
IAIB2621047Medicare PIN