| Doctor Name: | MS. CYNTHIA ANN SCHACKMAN |
| NPI Number: | 1154419877 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP OR PFMHNP |
| License Number: | R1590218 |
| Business Practice Address: | 1700 Education Ave Punta Gorda, FL - 339506222 |
| Business Phone Number: | 9416398300 |
| Business Fax Number: | |
| Mailing Address: | 1700 Education Ave, PUNTA GORDA |
| State: | FL |
| Postal Code: | 339506222 |
| Phone Number: | 9416398300 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 05/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R1590218 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |