Individual
MRS. CYNTHIA VISINTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1345 SMIZER MILL RD STE 1100, FENTON, MO 63026-7305
(636) 496-5022
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015040595
MO
363LF0000X
Family Nurse Practitioner
2015040595
MO
Other
Enumeration date
02/17/2016
Last updated
06/05/2023
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