Healthcare Provider Details

I. General information

NPI: 1225031081
Provider Name (Legal Business Name): CYNTHIA A BIGHEART ARNP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 10/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W OWEN K GARRIOTT RD
ENID OK
73701-5622
US

IV. Provider business mailing address

PO BOX 3046
MALVERN PA
19355-0746
US

V. Phone/Fax

Practice location:
  • Phone: 580-249-3931
  • Fax: 580-599-6445
Mailing address:
  • Phone: 580-242-3870
  • Fax: 580-242-4046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR0048498
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: