Healthcare Provider Details

I. General information

NPI: 1255604021
Provider Name (Legal Business Name): CYNTHIA ANN PRESSLEY R.N. C.P.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA ANN KIDMAN R.N. C.P.N.P.

II. Dates (important events)

Enumeration Date: 02/09/2012
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3271 FM 663 STE D
MIDLOTHIAN TX
76065-7614
US

IV. Provider business mailing address

3120 MATLOCK RD STE 201
ARLINGTON TX
76015-2903
US

V. Phone/Fax

Practice location:
  • Phone: 972-850-0088
  • Fax:
Mailing address:
  • Phone: 817-467-0889
  • Fax: 817-557-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number577618
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: