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NPI Code Detail

MEDICARE: CYNTHIA SCHENK NP

MEDICARE:   CYNTHIA  SCHENK  NP
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
1363LF0000XFamily Nurse Practitioner95012872CA

General Provider Information

NPI Number : 1912546045
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA SCHENK NP
Provider Business Mailing Address
First Line : 1585 KANSAS AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93405-7604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1585 KANSAS AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93405-7604
Country : US
Telephone Number : 805-781-4550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2020
Last Update Date : 01/06/2020

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Directions to “ CYNTHIA SCHENK NP” Practice Location

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