| NPI | 1982748265 |
|---|---|
| Former Name | CYNTHIA RENEE' CHADWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 91404) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2023-10-06 |