Provider Demographics
NPI:1184942104
Name:CROYLE, CYNTHIA DECAMP (FNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DECAMP
Last Name:CROYLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 EVERGREEN LN
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1156
Mailing Address - Country:US
Mailing Address - Phone:219-688-3109
Mailing Address - Fax:
Practice Address - Street 1:18600 S JOHN DEERE RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-9746
Practice Address - Country:US
Practice Address - Phone:563-589-5222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008043363LF0000X
IN280850027A363LF0000X
IAA175987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily