Provider Demographics
NPI:1720621410
Name:PAWLOWICZ, CYNTHIA E (APRN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:E
Last Name:PAWLOWICZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:E
Other - Last Name:CHEBATOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:16 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-1199
Mailing Address - Country:US
Mailing Address - Phone:603-238-2229
Mailing Address - Fax:603-536-3256
Practice Address - Street 1:16 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1199
Practice Address - Country:US
Practice Address - Phone:603-238-2229
Practice Address - Fax:603-536-3256
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH068762-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ225256OtherREGISTERED NURSE PRACTITIONER
NH068762-23OtherLICENSE