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Individual

MS. CYNTHIA ANN SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNM, APRN

Contact information

Practice address
703 BENDELOW DR, CAVE SPRINGS, AR 72718-5015
(501) 690-3081
(479) 525-5963
Mailing address
703 BENDELOW DR, CAVE SPRINGS, AR 72718-5015
(501) 690-3081
(479) 525-5963

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
M01007
AR
363LW0102X
Women's Health Nurse Practitioner
M01007
AR
367A00000X
Advanced Practice Midwife
M01007CNM
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134857799
TRICARE PROVIDER NUMBER
AR
05
134857799
AR
Enumeration date
04/02/2007
Last updated
02/15/2020
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