Healthcare Provider Details
I. General information
NPI: 1053685958
Provider Name (Legal Business Name): CINTIA M DOWNING APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/24/2012
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2710 S RIFE MEDICAL LN
ROGERS AR
72758-1452
US
IV. Provider business mailing address
PO BOX 776084
CHICAGO IL
60677-6084
US
V. Phone/Fax
- Phone: 479-636-0200
- Fax: 479-986-3448
- Phone: 314-543-6979
- Fax: 314-364-6321
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 2022009321 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | A003670 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: