Healthcare Provider Details

I. General information

NPI: 1164424834
Provider Name (Legal Business Name): CYNTHIA ANNE PARSONS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W PLATT ST # 4
TAMPA FL
33606-2243
US

IV. Provider business mailing address

1725 WESTERLY DR
BRANDON FL
33511-1868
US

V. Phone/Fax

Practice location:
  • Phone: 813-444-8268
  • Fax: 813-258-7214
Mailing address:
  • Phone: 813-684-2220
  • Fax: 813-354-9436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2603542 ARNP
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: