MRS. CYNTHIA DIANN SMALLING


Address: 2014 Juniper Dr, Grand Prairie, TX 75050-2206
Phone: 9728981523

MRS. CYNTHIA DIANN SMALLING (NPI# 1457912446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457912446
Entity Type Individual
Full Name MRS. CYNTHIA DIANN SMALLING
Credential FNP
Practice Address 2014 Juniper Dr
Grand Prairie
TX 75050-2206
Practice Telephone 9728981523
Mailing Telephone 9728981523
Enumeration Date 2019-06-21
Last Update Date 2019-06-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
API136002 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2014 JUNIPER DR
City GRAND PRAIRIE
State TX
Zip Code 75050-2206

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City GRAND PRAIRIE
Zip Code 75050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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