Doctor Name: | MS. CYNTHIA COLLINS BRUINS |
NPI Number: | 1073772521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | B069697 |
Business Practice Address: | 2210 Country Club Rd Indianola, IA - 501251197 |
Business Phone Number: | 5153603698 |
Business Fax Number: | |
Mailing Address: | 2210 Country Club Rd, INDIANOLA |
State: | IA |
Postal Code: | 501251197 |
Phone Number: | 5153603698 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | B069697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |