Provider Demographics
NPI:1841976461
Name:DOS SANTOS MESQUITA, CINTHIA (MSN, RN, CNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:CINTHIA
Middle Name:
Last Name:DOS SANTOS MESQUITA
Suffix:
Gender:F
Credentials:MSN, RN, CNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-4804
Mailing Address - Country:US
Mailing Address - Phone:774-242-9744
Mailing Address - Fax:
Practice Address - Street 1:215 FITCHBURG ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1219
Practice Address - Country:US
Practice Address - Phone:774-275-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN276564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily