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NPI Code Detail

MEDICARE: CYNTHIA ANN PETERS CRNFA, FNP-C

MEDICARE: CYNTHIA ANN PETERS CRNFA, FNP-C
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
1163WM0705XMedical-Surgical Registered NurseRN056532AZ
2363LF0000XFamily Nurse PractitionerAP2892AZ

General Provider Information

NPI Number : 1699771659
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA ANN PETERS CRNFA, FNP-C
Provider Business Mailing Address
First Line : 7165 E UNIVERSITY DR STE 187
Second Line :
City : MESA
State : AZ
Zip : 85207-6415
Country : US
Telephone Number : 480-668-5000
Fax Number : 480-428-8593
Provider Business Practice Location Address
First Line : 7165 E UNIVERSITY DR STE 183
Second Line :
City : MESA
State : AZ
Zip : 85207-6415
Country : US
Telephone Number : 480-668-5000
Fax Number : 480-668-5065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 06/04/2021

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Directions to “ CYNTHIA ANN PETERS CRNFA, FNP-C” Practice Location

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