Doctor Name: | MRS. CYNTHIA MARIE CLASS-MCGREW |
NPI Number: | 1770915456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP, FNP-BC |
License Number: | R157399 |
Business Practice Address: | 14a Mount Carmel Rd Parkton, MD - 211209721 |
Business Phone Number: | 4434913333 |
Business Fax Number: | 4434913798 |
Mailing Address: | 14a Mount Carmel Rd, PARKTON |
State: | MD |
Postal Code: | 211209721 |
Phone Number: | 4434913333 |
Fax Number: | 4434913798 |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 06/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R157399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |