# VIRGINIA ELLEN CEYNAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619990611
- **Gender:** F
- **Credential:** P.A.-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PAC0281 | ND | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 12/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 108827102 | — | WY |
| 01 | — | 24633 | BLUE CROSS/BLUE SHIELD | ND |
| 05 | — | 4304366 | — | MT |
| 01 | — | 77063749858854A005 | TRICARE | — |
| 05 | — | 8361552 | — | WA |
| 05 | — | 943987 | — | AZ |
| 01 | — | NA4371043533 | PREFERRED ONE | — |