Provider Demographics
NPI:1326503871
Name:HEIBLER, CYNTHIA NICOLAUS (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:NICOLAUS
Last Name:HEIBLER
Suffix:
Gender:F
Credentials:MSN, 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 1:3634 LIGON RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-5239
Mailing Address - Country:US
Mailing Address - Phone:443-690-6284
Mailing Address - Fax:
Practice Address - Street 1:6630 MARIE CURIE DR
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6402
Practice Address - Country:US
Practice Address - Phone:571-370-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203606363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily