Provider Demographics
NPI:1962784637
Name:IBERT, CINDY LEE (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LEE
Last Name:IBERT
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Gender:F
Credentials:RN, FNP-C
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Mailing Address - Street 1:620 MASSEY TOMPKINS RD
Mailing Address - Street 2:620 MASSY TOMKINS
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4312
Mailing Address - Country:US
Mailing Address - Phone:281-427-6363
Mailing Address - Fax:281-838-8393
Practice Address - Street 1:620 MASSEY TOMPKINS RD
Practice Address - Street 2:620 MASSY TOMKINS
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4312
Practice Address - Country:US
Practice Address - Phone:281-427-6363
Practice Address - Fax:281-838-8393
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
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Provider Licenses
StateLicense IDTaxonomies
TX675338363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily