Provider Demographics
NPI:1710858766
Name:EINHORN, CYNTHIA MARIA (FNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MARIA
Last Name:EINHORN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17522 N 500TH ST
Mailing Address - Street 2:
Mailing Address - City:WHEELER
Mailing Address - State:IL
Mailing Address - Zip Code:62479-2106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17522 N 500TH ST
Practice Address - Street 2:
Practice Address - City:WHEELER
Practice Address - State:IL
Practice Address - Zip Code:62479-2106
Practice Address - Country:US
Practice Address - Phone:217-254-4238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.033142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily