Provider Demographics
NPI:1316502081
Name:NEVILLE, CYNTHIA ANN (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:NEVILLE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 NORTH BLVD W STE 1
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-8983
Mailing Address - Country:US
Mailing Address - Phone:863-422-8574
Mailing Address - Fax:863-422-7251
Practice Address - Street 1:35600 HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-3731
Practice Address - Country:US
Practice Address - Phone:863-866-9820
Practice Address - Fax:863-812-4455
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11001484363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily