Provider Demographics
NPI:1982675914
Name:FAUDREE, CYNDI B (NP)
Entity Type:Individual
Prefix:MRS
First Name:CYNDI
Middle Name:B
Last Name:FAUDREE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 FAIR HOPE DR NE
Mailing Address - Street 2:
Mailing Address - City:SHELLMAN BLUFF
Mailing Address - State:GA
Mailing Address - Zip Code:31331-3447
Mailing Address - Country:US
Mailing Address - Phone:912-832-6617
Mailing Address - Fax:912-832-6617
Practice Address - Street 1:1641 FAIR HOPE DR NE
Practice Address - Street 2:
Practice Address - City:SHELLMAN BLUFF
Practice Address - State:GA
Practice Address - Zip Code:31331-3447
Practice Address - Country:US
Practice Address - Phone:912-832-6617
Practice Address - Fax:912-832-6617
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN118892363LA2100X, 363LC0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN118892OtherSTATE LICENSE