Provider Demographics
NPI:1801249784
Name:BUCHANAN-RUDDER, CYNTHIA KAY (FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KAY
Last Name:BUCHANAN-RUDDER
Suffix:
Gender:F
Credentials:FNP-C
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Other - First Name:
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Mailing Address - Street 1:4544 S LAMAR BLVD
Mailing Address - Street 2:STE 700
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1500
Mailing Address - Country:US
Mailing Address - Phone:512-834-4141
Mailing Address - Fax:512-834-4142
Practice Address - Street 1:4544 S LAMAR BLVD
Practice Address - Street 2:STE 700
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1500
Practice Address - Country:US
Practice Address - Phone:512-834-4141
Practice Address - Fax:512-834-4142
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP131410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily