MEDICARE: CYNTHIA C TOWNSEND ARNP, FNP-BC

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	363L00000X	Nurse Practitioner	R623768	MS
2	363L00000X	Nurse Practitioner	ARNP9353309	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639172018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA C TOWNSEND ARNP, FNP-BC

Provider Business Mailing Address
First Line	:	255 VENTANA BLVD
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-4505
Country	:	US
Telephone Number	:	601-549-6591
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 VENTANA BLVD
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-4505
Country	:	US
Telephone Number	:	601-549-6591
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/17/2016

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