Provider Demographics
NPI:1790741619
Name:NEVARA, CINDY LEE (RN,APN-C)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LEE
Last Name:NEVARA
Suffix:
Gender:
Credentials:RN,APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:848-288-6935
Mailing Address - Fax:732-790-0107
Practice Address - Street 1:223 N MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2182
Practice Address - Country:US
Practice Address - Phone:609-465-7557
Practice Address - Fax:609-465-9383
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN310556L163W00000X
DEL1-0038769163W00000X
NJ26NJ00005100363LA2200X, 363L00000X
PAVP003896G363LW0102X
DELH-0000192363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8901309Medicaid
NJP75028Medicare UPIN
NJ065172AH9Medicare ID - Type Unspecified