Healthcare Provider Details

I. General information

NPI: 1851344683
Provider Name (Legal Business Name): CYNTHIA KAY LUNSFORD NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4231 W 16TH AVE
DENVER CO
80204-1335
US

IV. Provider business mailing address

4231 W 16TH AVE
DENVER CO
80204-1335
US

V. Phone/Fax

Practice location:
  • Phone: 303-629-2339
  • Fax:
Mailing address:
  • Phone: 303-629-2339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number93004
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: