Provider Demographics
NPI:1154544120
Name:HYDE, CYNTHIA ANNE (ARNP CNM MPH)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ANNE
Last Name:HYDE
Suffix:
Gender:F
Credentials:ARNP CNM MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27941 560TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-9333
Mailing Address - Country:US
Mailing Address - Phone:515-233-1679
Mailing Address - Fax:
Practice Address - Street 1:2679 MAURY ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-7462
Practice Address - Country:US
Practice Address - Phone:515-244-6162
Practice Address - Fax:515-266-3105
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA088970367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA088970OtherSTATE ARNP LICENSE