Healthcare Provider Details

I. General information

NPI: 1821612581
Provider Name (Legal Business Name): CYNTHIA MICHELE PARKHURST FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. CYNTHIA MICHELE ROBLES

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date: 01/11/2021
Reactivation Date: 02/15/2021

III. Provider practice location address

50 E CROYDON PARK RD
TUCSON AZ
85704-5792
US

IV. Provider business mailing address

50 E CROYDON PARK RD
TUCSON AZ
85704-5792
US

V. Phone/Fax

Practice location:
  • Phone: 520-696-3438
  • Fax:
Mailing address:
  • Phone: 520-696-3438
  • Fax: 520-888-2347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number248855
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number809254
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN170326
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: