1043541337 NPI number — MS. CYNTHIA MARGUERITE SCHUETZ-SMITH CFNP

Table of content: MS. CYNTHIA MARGUERITE SCHUETZ-SMITH CFNP (NPI 1043541337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043541337 NPI number — MS. CYNTHIA MARGUERITE SCHUETZ-SMITH CFNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHUETZ-SMITH
Provider First Name:
CYNTHIA
Provider Middle Name:
MARGUERITE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CFNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BOYD
Provider Other First Name:
CYNTHIA
Provider Other Middle Name:
MARGUERITE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CFNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043541337
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9425 EASTSIDE DR. EXT HWY 15 NORTH
Provider Second Line Business Mailing Address:
P.O. BOX 3189
Provider Business Mailing Address City Name:
NEWTON
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39345-8069
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-635-3333
Provider Business Mailing Address Fax Number:
601-635-3330

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9425 EASTSIDE DR. EXT HWY 15 NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39345-8069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-635-3333
Provider Business Practice Location Address Fax Number:
601-693-3330
Provider Enumeration Date:
01/26/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  R876801 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09132725 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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