Provider Demographics
NPI:1386361681
Name:WILLIAMS, CYNTHIA ELISABETH (CPNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ELISABETH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 CROSSWIND DR
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-6554
Mailing Address - Country:US
Mailing Address - Phone:210-528-8085
Mailing Address - Fax:
Practice Address - Street 1:1814 VILLAGE OAK CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5171
Practice Address - Country:US
Practice Address - Phone:512-580-9204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1096892363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics