Individual
MS. CYNTHIA ANN STAVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AHCNS, APRN
Contact information
Practice address
5673 JENNI LN, SAINT PAUL, MN 55110-5721
(651) 208-9291
(651) 340-5143
Mailing address
5673 JENNI LN, SAINT PAUL, MN 55110-5721
(651) 208-9291
(651) 340-5143
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
522
MN
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
522
MN
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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