MEDICARE: MS. CYNTHIA RAE BEHRENS FNP APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	103967	CO

General Provider Information

NPI Number	:	1194855437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA RAE BEHRENS FNP APN

Provider Business Mailing Address
First Line	:	1900 E PIKES PEAK AVE
Second Line	:	SUITE 1
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909
Country	:	US
Telephone Number	:	719-632-3757
Fax Number	:	719-632-2454

Provider Business Practice Location Address
First Line	:	1900 E PIKES PEAK AVE
Second Line	:	SUITE 1
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909
Country	:	US
Telephone Number	:	719-632-2454
Fax Number	:	719-632-2454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	04/16/2013

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