Individual
CYNTHIA HEYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
720 E NEW HAVEN AVE STE 11, MELBOURNE, FL 32901-5474
(321) 724-4545
(321) 728-4168
Mailing address
720 E NEW HAVEN AVE STE 11, MELBOURNE, FL 32901-5474
(321) 724-4545
(321) 728-4168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F1214474
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
2931202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110934300
—
FL
Enumeration date
01/09/2015
Last updated
09/12/2023
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