Legris, Cynthia L

Legris, Cynthia L is an individual health care provider with primary practice located at 500 W Thomas Rd Suite 200, Phoenix AZ 85013-4224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Legris, Cynthia L can be contacted via phone (602) 200-9159.

Contact Information

Primary practice address
500 W Thomas Rd Suite 200 Phoenix AZ 85013-4224
Phone: (602) 200-9159
Fax: (602) 200-9949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN 081310 Arizona

Profile Details

NPI number 1285607051
LBN Legal business name Legris, Cynthia L
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Sep 20th, 2013 - about 11 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 1285607051 NPPES
Arizona MEDICAID 358730

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