Provider Demographics
NPI:1942598495
Name:MAIDEN, CYNTHIA (FNP PMHNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:MAIDEN
Suffix:
Gender:F
Credentials:FNP PMHNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:MAIDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP PMHNP
Mailing Address - Street 1:6262 WEBER RD STE 120
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-4030
Mailing Address - Country:US
Mailing Address - Phone:361-850-8300
Mailing Address - Fax:361-850-8302
Practice Address - Street 1:6262 WEBER RD STE 120
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-4030
Practice Address - Country:US
Practice Address - Phone:361-850-8300
Practice Address - Fax:361-850-8302
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363L00000X363L00000X
TXAP120414363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner