Provider Demographics
NPI:1215993944
Name:PAGE, CINDY (WHNP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:PAGE
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553589364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX070874501Medicaid
TX070874503OtherMEDICAID
TX070874502OtherMEDICAID
TXNP0266Medicare ID - Type Unspecified
TXP29740Medicare UPIN