MEDICARE: CYNTHIA ADSON ARNP, FNPBC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	246176	AZ

General Provider Information

NPI Number	:	1407500705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ADSON ARNP, FNPBC

Provider Business Mailing Address
First Line	:	1501 S YALE ST STE 250
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-7336
Country	:	US
Telephone Number	:	928-556-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 S YALE ST STE 250
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-7336
Country	:	US
Telephone Number	:	928-556-0707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	02/07/2022

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