Gaines, Cynthia Dawn

Gaines, Cynthia Dawn is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501-8209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Gaines, Cynthia Dawn can be contacted via phone (970) 298-2279.

Contact Information

Primary practice address
2635 N 7Th St Grand Junction CO 81501-8209
Fax: (970) 298-2222
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 53807 Colorado

Profile Details

NPI number 1851397103
LBN Legal business name Gaines, Cynthia Dawn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 4th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851397103 NPPES
Colorado MEDICAID 07538077

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