| Doctor Name: | CYNTHIA LOU GRUBBS |
| NPI Number: | 1033296199 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | A01043 |
| Business Practice Address: | 495 Hogan Ln Conway, AR - 720348201 |
| Business Phone Number: | 5013271150 |
| Business Fax Number: | 5013273427 |
| Mailing Address: | 495 Hogan Ln, CONWAY |
| State: | AR |
| Postal Code: | 720348201 |
| Phone Number: | 5013271150 |
| Fax Number: | 5013273427 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |