MEDICARE: CYNTHIA MARIE SAINT CYR RN, MSN, APRN,BC

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	363LA2200X	Adult Health Nurse Practitioner	01250652	NJ
2	363LA2200X	Adult Health Nurse Practitioner	26NJ00131800	NJ

General Provider Information

NPI Number	:	1669592606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA MARIE SAINT CYR RN, MSN, APRN,BC

Provider Business Mailing Address
First Line	:	456 TIMBERLINE DR
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-2141
Country	:	US
Telephone Number	:	856-231-1778
Fax Number	:

Provider Business Practice Location Address
First Line	:	456 TIMBERLINE DR
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-2141
Country	:	US
Telephone Number	:	856-231-1778
Fax Number	:

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

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	04/20/2016

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