Individual
CYNTHIA K DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11216 SUNRISE BLVD E, # 3-106, PUYALLUP, WA 98374-8848
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP30004043
WA
363LF0000X
Family Nurse Practitioner
AP30004043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9621913
—
WA
01
—
G8920735
MEDICARE PROVIDER ID
WA
Enumeration date
10/24/2005
Last updated
02/22/2016
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