Doctor Name: | CYNTHIA R CAINE |
NPI Number: | 1215936315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 71000102A |
Business Practice Address: | 11200 W Lincoln Hwy Mokena, IL - 604488208 |
Business Phone Number: | 7088730062 |
Business Fax Number: | 7088731820 |
Mailing Address: | 11200 W Lincoln Hwy, MOKENA |
State: | IL |
Postal Code: | 604488208 |
Phone Number: | 7088730062 |
Fax Number: | 7088731820 |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71000102A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |