Healthcare Provider Details

I. General information

NPI: 1942433453
Provider Name (Legal Business Name): CYNTHIA ANNE HUTH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 E HAVERFORD RD
BRYN MAWR PA
19010-3819
US

IV. Provider business mailing address

933 E HAVERFORD RD
BRYN MAWR PA
19010-3819
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-4511
  • Fax: 610-525-8561
Mailing address:
  • Phone: 610-525-4511
  • Fax: 610-525-8561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP008589
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: