Healthcare Provider Details

I. General information

NPI: 1437146271
Provider Name (Legal Business Name): CYNTHIA L HILDEBRAND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA L DAVIS DNSC, ACNP, BC

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

IV. Provider business mailing address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-6102
  • Fax: 785-354-5004
Mailing address:
  • Phone: 785-354-6102
  • Fax: 785-354-5004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number75655
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberA01268
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: