Individual
CYNTHIA G. DICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1605 MARTIN SPRINGS DR, STE 230, ROLLA, MO 65401-2931
(573) 458-6350
(573) 458-6764
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2011034127
MO
363LF0000X
Family Nurse Practitioner
Primary
2011034127
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205110301
—
MO
01
—
431560263
TRICARE
MO
01
—
P01028023
RR MCR
MO
Enumeration date
10/06/2011
Last updated
09/26/2025
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