Desmond, Cynthia K

Desmond, Cynthia K is an individual health care provider with primary practice located at 11216 Sunrise Blvd E # 3-106, Puyallup WA 98374-8848. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Desmond, Cynthia K can be contacted via phone (253) 848-5951.

Contact Information

Primary practice address
11216 Sunrise Blvd E # 3-106 Puyallup WA 98374-8848
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30004043 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AP30004043 Washington

Profile Details

NPI number 1245220003
LBN Legal business name Desmond, Cynthia K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245220003 NPPES
Washington Other G8920735 MEDICARE PROVIDER ID
Washington MEDICAID 9621913 MEDICARE PROVIDER ID

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