Healthcare Provider Details

I. General information

NPI: 1326023854
Provider Name (Legal Business Name): CYNTHIA L KEYFAUVER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY L KEYFAUVER CRNA

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 HOFFMAN DR STE A
LOVELAND CO
80538
US

IV. Provider business mailing address

1022 BLUE SPRUCE DR
LOVELAND CO
80538-2860
US

V. Phone/Fax

Practice location:
  • Phone: 970-667-9794
  • Fax: 970-663-6336
Mailing address:
  • Phone: 303-349-4983
  • Fax: 303-349-4983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.0004878-CRNA
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number557148
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: