Healthcare Provider Details

I. General information

NPI: 1649250986
Provider Name (Legal Business Name): CYNTHIA KAY TOBIN PMHNP, ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 N 33RD AVE
PHOENIX AZ
85017-5202
US

IV. Provider business mailing address

3001 N 33RD AVE
PHOENIX AZ
85017-5202
US

V. Phone/Fax

Practice location:
  • Phone: 602-353-0703
  • Fax: 602-353-0715
Mailing address:
  • Phone: 602-353-0703
  • Fax: 602-353-0715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP1277
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP4308
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: