Individual
MRS. CYNTHIA J SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Mailing address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN115612
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP4137
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP4137
ADV. PRACTITIONER
AZ
01
—
RN115612
LICENCE
AZ
Enumeration date
05/11/2006
Last updated
07/21/2022
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