Provider Demographics
NPI:1518103670
Name:KIRKLAND, CINDY LOU (APRN)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LOU
Last Name:KIRKLAND
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:LOU
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 RIVERFRONT BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8823
Mailing Address - Country:US
Mailing Address - Phone:941-748-2417
Mailing Address - Fax:941-748-3694
Practice Address - Street 1:101 RIVERFRONT BLVD STE 700
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8823
Practice Address - Country:US
Practice Address - Phone:941-748-2417
Practice Address - Fax:941-748-3694
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019745363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11019745OtherSTATE MEDICAL LICENSE
VAP01136005Medicare PIN
VAVV8218AMedicare PIN