Doctor Name: | CYNTHIA LEE GIMONT |
NPI Number: | 1316386790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP012836 |
Business Practice Address: | 680 Blair Mill Rd Horsham, PA - 190442223 |
Business Phone Number: | 2157642723 |
Business Fax Number: | |
Mailing Address: | 680 Blair Mill Rd, HORSHAM |
State: | PA |
Postal Code: | 190442223 |
Phone Number: | 2157642723 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP012836 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |