Provider Demographics
NPI:1538115233
Name:CYNTHIA PAPENDICK APRN BC INC
Entity type:Organization
Organization Name:CYNTHIA PAPENDICK APRN BC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:PAPENDICK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:269-695-1113
Mailing Address - Street 1:1045 E FRONT ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:BUCHANAN
Mailing Address - State:MI
Mailing Address - Zip Code:49107-8474
Mailing Address - Country:US
Mailing Address - Phone:269-695-1113
Mailing Address - Fax:269-695-0412
Practice Address - Street 1:1045 E FRONT ST
Practice Address - Street 2:SUITE B2
Practice Address - City:BUCHANAN
Practice Address - State:MI
Practice Address - Zip Code:49107-8474
Practice Address - Country:US
Practice Address - Phone:269-695-1113
Practice Address - Fax:269-695-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704169270163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty