Healthcare Provider Details

I. General information

NPI: 1235585613
Provider Name (Legal Business Name): CINTHIA LYVERS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19440 GOLF VISTA PLZ STE 230
LANSDOWNE VA
20176-8264
US

IV. Provider business mailing address

44121 LEESBURG PIKE STE 180
ASHBURN VA
20147-5670
US

V. Phone/Fax

Practice location:
  • Phone: 571-510-0607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024173289
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024173289
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: