Provider Demographics
NPI:1043541337
Name:SCHUETZ-SMITH, CYNTHIA MARGUERITE (CFNP)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:MARGUERITE
Last Name:SCHUETZ-SMITH
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:MARGUERITE
Other - Last Name:BOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:9425 EASTSIDE DR. EXT HWY 15 NORTH
Mailing Address - Street 2:P.O. BOX 3189
Mailing Address - City:NEWTON
Mailing Address - State:MS
Mailing Address - Zip Code:39345-8069
Mailing Address - Country:US
Mailing Address - Phone:601-635-3333
Mailing Address - Fax:601-635-3330
Practice Address - Street 1:9425 EASTSIDE DR. EXT HWY 15 NORTH
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345-8069
Practice Address - Country:US
Practice Address - Phone:601-635-3333
Practice Address - Fax:601-693-3330
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR876801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09132725Medicaid
MSP01347536Medicare PIN