Healthcare Provider Details

I. General information

NPI: 1841407582
Provider Name (Legal Business Name): CYNTHIA LOEBIG DNP, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CYNTHIA J OLSON NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 W INDIAN SCHOOL RD STE 118
PHOENIX AZ
85037-2387
US

IV. Provider business mailing address

1100 W TOWN AND COUNTRY RD STE 1600
ORANGE CA
92868-4698
US

V. Phone/Fax

Practice location:
  • Phone: 623-547-5235
  • Fax: 623-533-6271
Mailing address:
  • Phone: 888-979-2247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number14694
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number218564
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number218564
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number835543
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14694
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: