Provider Demographics
NPI:1740339258
Name:THYGESEN, CYNTHIA L (NP)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:L
Last Name:THYGESEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1201 HEWITT DRIVE
Mailing Address - Street 2:SUITE 203B
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712
Mailing Address - Country:US
Mailing Address - Phone:254-666-3627
Mailing Address - Fax:254-732-6125
Practice Address - Street 1:1201 HEWITT DR
Practice Address - Street 2:SUITE 203B
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8833
Practice Address - Country:US
Practice Address - Phone:254-666-3627
Practice Address - Fax:254-732-6125
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2018-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX582987163W00000X
TXAP114752363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse