Cynthia C Dotson, NP
Individual provider Active NPI Family Nurse Practitioner · Grenada, MS
NPI 1720057565 · NPPES record last updated Apr 11, 2012
Key facts
- NPI
- 1720057565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R561126 (MS)
- Practice address
- 965 Avent Dr Ste 105
Grenada, MS 38901-5045 - Phone
- (662) 227-7575
- Fax
- (662) 227-6575
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Engineers, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R561126 | MS | Yes |
Addresses
Primary practice location
965 Avent Dr Ste 105
Grenada, MS 38901-5045
Mailing address
965 Avent Dr Ste 105
Grenada, MS 38901-5045
Phone (662) 227-7575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02775800 | Medicaid | MS |
Other providers in Grenada, MS
- Benjamin Edward Dehart
- Delta Rehab Contract Services, Inc.
- Janet B Dickey
- Daneca M. Dipaolo
- Thu Doan
- Lillian Lorraine Dubard
- Robert Keith Dubard
- Julie Muselwhite Duke
- Keshia Dukes
- E L Transit Solutions LLC
All providers in Grenada, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.