MS. CYNTHIA ANNE PARK (NPI# 1912236738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912236738 |
Entity Type | Individual |
Full Name | MS. CYNTHIA ANNE PARK |
Credential | ACNP-BC |
Practice Address |
6925 Highway 74 St. Gabriel LA 70776 |
Mailing Address |
6925 Hwy 74 St Gabriel LA 70776 |
Practice Telephone | 2253194508 |
Practice Fax Number | 2253194595 |
Mailing Telephone | 2253194508 |
Mailing Fax Number | 2253194595 |
Enumeration Date | 2009-12-08 |
Last Update Date | 2009-12-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
AP05157 | LA | Physician Assistants & Advanced Practice Nursing Providers |
N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
AP05157 | LA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
1013354125 | Cynthia Bryant Park | Counselor | 13560 Cogburn Rd, Milton, GA 30004-3648 | 2013-05-30 |
1396344404 | Cynthia Ann Park | Technician | 409 Spring Ave, Moorefield, WV 26836-1036 | 2020-10-20 |
1528427747 | Cynthia Lynn Park | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2016-02-16 |
Street Address |
6925 HIGHWAY 74 |
City | ST. GABRIEL |
State | LA |
Zip Code | 70776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790014512 | Johnny Francois Prejean Jr. | Internal Medicine | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225487101 | St Gabriel Health Clinic Inc | Clinic/Center | 5600 Monticello Dr, St Gabriel, LA 70776 | 2016-06-10 |
1821464587 | St Gabriel Health Clinic Inc | Clinic/Center | 5760 Monticello, St Gabriel, LA 70776 | 2015-08-18 |
1942575105 | Reginald Grace Sr. | Counselor | 6225 Plantation Dr., St. Gabriel, LA 70776 | 2012-03-20 |
1407185226 | Vonda Kay Gustin | Nurse Practitioner | 6295 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
1417147851 | Adolph Brooks Cronan Jr. | Family Medicine | River Road, Syngenta Corp, St Gabriel, LA 70776 | 2007-08-01 |
1215159272 | Pamela B. Ross | Nurse Practitioner | 7205 Hwy. 74, St. Gabriel, LA 70776 | 2007-05-02 |
1548310881 | George Elliott Inc | Pharmacy | 6150 Hwy 74, St Gabriel, LA 70776 | 2007-01-11 |
1861635443 | Maureen Coughlin | Social Worker | 5760 Monticello Drive, St Gabriel, LA 70776 | 2009-04-13 |
1194996025 | Iberville Elem School Base Health Clinic | Clinic/Center | 5760 Monticello Dr, St Gabriel, LA 70776 | 2008-03-19 |
1114145596 | Betty H Altman | Dentist | 5760 Monticello Drive, St Gabriel, LA 70776 | 2007-04-23 |
Find all providers in zip 70776 |
Taxonomy Code | 364SA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417504887 | Matthew Ladouceur | Clinical Nurse Specialist | 648 Crestwood Dr, Covington, LA 70433 | 2019-08-21 |
1306350822 | David Creger LLC | Clinical Nurse Specialist | 716 Village Rd, Kenner, LA 70065 | 2017-11-20 |
1467702944 | Gina Marie King | Clinical Nurse Specialist | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2012-09-12 |
1487954608 | Katherine Rains | Clinical Nurse Specialist | 912 W Main St, Homer, LA 71040-3328 | 2010-10-22 |
1669635561 | Patricia Ann Chatham | Clinical Nurse Specialist | 1450 Poydras St, New Orleans, LA 70112-6010 | 2008-07-10 |
City | ST. GABRIEL |
Zip Code | 70776 |
Please comment or provide details below to improve the information on MS. CYNTHIA ANNE PARK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.