Individual
CYNTHIA ANN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,FNP-C
Contact information
Practice address
18102 IRVINE BLVD, SUITE 105, TUSTIN, CA 92780-3402
(714) 832-0510
(714) 832-2716
Mailing address
1310 W STEWART DR, SUITE 410, ORANGE, CA 92868-3854
(714) 639-9401
(714) 639-7095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720247455
TYPE 2 NPI
CA
01
—
1912919804
TYPE 2 NPI
CA
Enumeration date
09/13/2005
Last updated
12/22/2011
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