Mayberry, Cynthia Ann
Mayberry, Cynthia Ann is an sole proprietor health care provider with primary practice located at 705 E Laharpe St Ste D , Kirksville MO 63501-4526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mayberry, Cynthia Ann can be contacted via phone (660) 665-3545.Contact Information
Primary practice address
705 E Laharpe St Ste D
Kirksville MO 63501-4526
Phone: (660) 665-3545
Fax: (660) 665-3226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 100516 | Missouri |
Profile Details
| NPI number | 1700818283 |
|---|---|
| LBN Legal business name | Mayberry, Cynthia Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Oct 9th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700818283 | NPPES |
| Missouri | Other | 182570 | BLUE CROSS/BLUE SHIELD |
| Missouri | Other | 633829 | BLUE CROSS/BLUE SHIELD |
| Missouri | MEDICAID | 429173503 | BLUE CROSS/BLUE SHIELD |
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