Doctor Name: | MRS. CYNTHIA VISINTINE |
NPI Number: | 1033578117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 2015040595 |
Business Practice Address: | 1296 Jeffco Blvd Arnold, MO - 630102138 |
Business Phone Number: | 6363218610 |
Business Fax Number: | |
Mailing Address: | 1296 Jeffco Blvd, ARNOLD |
State: | MO |
Postal Code: | 630102138 |
Phone Number: | 6363218610 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2015040595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |