Provider Demographics
NPI:1932149101
Name:MCADAMS, CYNTHIA A (FNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:MCADAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 TIMBER RIDGE TRAIL
Mailing Address - Street 2:
Mailing Address - City:LORENA
Mailing Address - State:TX
Mailing Address - Zip Code:76655
Mailing Address - Country:US
Mailing Address - Phone:254-755-8095
Mailing Address - Fax:254-755-6319
Practice Address - Street 1:3416 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76208
Practice Address - Country:US
Practice Address - Phone:254-755-8095
Practice Address - Fax:254-755-6319
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
83N564Medicare ID - Type Unspecified