Provider Demographics
NPI:1194255703
Name:ALVAREZ, CYNTHIA KING (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KING
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 E TURNEY AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4236
Mailing Address - Country:US
Mailing Address - Phone:602-403-4843
Mailing Address - Fax:
Practice Address - Street 1:4125 E TURNEY AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4236
Practice Address - Country:US
Practice Address - Phone:602-403-4843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10228363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner