Provider Demographics
NPI:1720449424
Name:CYNTHIA DREW ARNP LLC
Entity Type:Organization
Organization Name:CYNTHIA DREW ARNP LLC
Other - Org Name:APPLE A DAY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:941-545-6013
Mailing Address - Street 1:811 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-2322
Mailing Address - Country:US
Mailing Address - Phone:941-545-6013
Mailing Address - Fax:941-729-0115
Practice Address - Street 1:2803 FRUITVILLE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5344
Practice Address - Country:US
Practice Address - Phone:941-545-6013
Practice Address - Fax:941-729-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9176413363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1508893751OtherNPI INDIVIDUAL
FLE5525CMedicare PIN