Individual
CYNTHIA MARIE KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
20440 N 27TH AVE, PHOENIX, AZ 85027-3240
(480) 882-4545
(602) 910-2949
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
291425
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN291425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142694
—
AZ
Enumeration date
05/09/2023
Last updated
10/19/2023
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