Provider Demographics
NPI:1104882836
Name:CINDY PAGE - AP WELLNESS CLINIC FOR WOMEN
Entity type:Organization
Organization Name:CINDY PAGE - AP WELLNESS CLINIC FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:WHNP
Authorized Official - Phone:361-758-7300
Mailing Address - Street 1:524 S COMMERCIAL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-1810
Mailing Address - Country:US
Mailing Address - Phone:361-758-7300
Mailing Address - Fax:361-758-9700
Practice Address - Street 1:524 S COMMERCIAL ST
Practice Address - Street 2:SUITE B
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-1810
Practice Address - Country:US
Practice Address - Phone:361-758-7300
Practice Address - Fax:361-758-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553589363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX070874502Medicaid
TX070874503Medicaid
TX070874501Medicare ID - Type Unspecified
TX070874503Medicaid
TXNP0266Medicare ID - Type Unspecified