Healthcare Provider Details

I. General information

NPI: 1336445469
Provider Name (Legal Business Name): CYNTHIA M. SLEPPY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 34TH ST S
ST PETERSBURG FL
33711-3224
US

IV. Provider business mailing address

701 94TH AVE N STE 250
SAINT PETERSBURG FL
33702-2448
US

V. Phone/Fax

Practice location:
  • Phone: 727-321-3854
  • Fax: 727-321-7670
Mailing address:
  • Phone: 727-321-3854
  • Fax: 727-327-7670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA.12033 NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9416622
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9416622
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: