Provider Demographics
NPI:1952753626
Name:HOUTROUW, CYNTHIA RAE (APRN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:RAE
Last Name:HOUTROUW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9420 STEELTREE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89143-1145
Mailing Address - Country:US
Mailing Address - Phone:702-277-1357
Mailing Address - Fax:833-457-5317
Practice Address - Street 1:330 S LOLA LN
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-0878
Practice Address - Country:US
Practice Address - Phone:702-277-1135
Practice Address - Fax:833-457-5317
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN002246363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner