Provider Demographics
NPI:1316937550
Name:GILBERT, CYNTHIA R (PA-C)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:R
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:404 W FOUNTAIN ST
Mailing Address - Street 2:MAYO CLINIC HEALTH SYSTEM IN ALBERT LEA
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007-2437
Mailing Address - Country:US
Mailing Address - Phone:507-373-2384
Mailing Address - Fax:507-373-2384
Practice Address - Street 1:404 W FOUNTAIN ST
Practice Address - Street 2:MAYO CLINIC HEALTH IN ALBERT LEA
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007-2437
Practice Address - Country:US
Practice Address - Phone:507-373-2384
Practice Address - Fax:507-373-2384
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA001329363A00000X
MN10214363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P30245Medicare UPIN