Healthcare Provider Details

I. General information

NPI: 1245263680
Provider Name (Legal Business Name): CYNTHIA ELIZABETH SHELTON WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 N GILBERT RD
MESA AZ
85203-5127
US

IV. Provider business mailing address

1008 E MCDOWELL RD STE A
PHOENIX AZ
85006-2603
US

V. Phone/Fax

Practice location:
  • Phone: 602-352-8588
  • Fax:
Mailing address:
  • Phone: 602-358-8588
  • Fax: 602-688-6991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number658676
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP1655
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN120707
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: