Doctor Name: | CINDY S CRUIKSHANK |
NPI Number: | 1104974849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | F-066702 |
Business Practice Address: | 412 E Church St Marshalltown, IA - 501582947 |
Business Phone Number: | 6417534021 |
Business Fax Number: | 6417534025 |
Mailing Address: | 9943 Hickman Rd, Ste 105 URBANDALE |
State: | IA |
Postal Code: | 503225304 |
Phone Number: | 5152481400 |
Fax Number: | 5152481440 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 12/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | F-066702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |