Provider Demographics
NPI:1053205864
Name:CYPRIEN, CINTHIANE (PCA)
Entity type:Individual
Prefix:MS
First Name:CINTHIANE
Middle Name:
Last Name:CYPRIEN
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12856 N HWY 183 STE B2027
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-3222
Mailing Address - Country:US
Mailing Address - Phone:737-781-5411
Mailing Address - Fax:
Practice Address - Street 1:9501 N FM 620 RD APT 12105
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-2917
Practice Address - Country:US
Practice Address - Phone:737-781-5411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47683583172A00000X
372600000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No172A00000XOther Service ProvidersDriver
No372600000XNursing Service Related ProvidersAdult Companion