Provider Demographics
NPI:1902068539
Name:FARMER, CYNTHIA LEAH (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LEAH
Last Name:FARMER
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 N TARRANT PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-8633
Mailing Address - Country:US
Mailing Address - Phone:817-416-2229
Mailing Address - Fax:817-416-3667
Practice Address - Street 1:3025 N TARRANT PKWY STE 150
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-8633
Practice Address - Country:US
Practice Address - Phone:817-416-2229
Practice Address - Fax:817-416-3667
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX463578363LW0102X
TXAP115990363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health