Provider Demographics
NPI:1548327281
Name:TUTTLE, CYNTHIA ANNE (NP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANNE
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40755 NICOLE CT
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-8175
Mailing Address - Country:US
Mailing Address - Phone:951-766-7422
Mailing Address - Fax:
Practice Address - Street 1:975 SAINT JOHN PL
Practice Address - Street 2:A
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4428
Practice Address - Country:US
Practice Address - Phone:951-765-1300
Practice Address - Fax:951-765-1312
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP12351363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health