Provider Demographics
NPI:1215636923
Name:POCASANGRE, CINDY MELISSA (DNP, APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:MELISSA
Last Name:POCASANGRE
Suffix:
Gender:F
Credentials:DNP, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9747 ADDERSLY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-6140
Mailing Address - Country:US
Mailing Address - Phone:210-386-8421
Mailing Address - Fax:
Practice Address - Street 1:3705 MEDICAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1027
Practice Address - Country:US
Practice Address - Phone:512-324-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099376363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics