Provider Demographics
NPI:1982672689
Name:TOWNSEND, CYNTHIA S (DNP)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:S
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:S
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:63 BEAR CLAW TRL
Mailing Address - Street 2:
Mailing Address - City:DIVIDE
Mailing Address - State:CO
Mailing Address - Zip Code:80814-8101
Mailing Address - Country:US
Mailing Address - Phone:928-499-9235
Mailing Address - Fax:
Practice Address - Street 1:63 BEAR CLAW TRL
Practice Address - Street 2:
Practice Address - City:DIVIDE
Practice Address - State:CO
Practice Address - Zip Code:80814-8101
Practice Address - Country:US
Practice Address - Phone:928-499-9235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0108199-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P84314Medicare UPIN