Provider Demographics
NPI:1447483201
Name:MARTLING, CYNTHIA FAY (ARNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:FAY
Last Name:MARTLING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:HARPER
Mailing Address - State:KS
Mailing Address - Zip Code:67058-1401
Mailing Address - Country:US
Mailing Address - Phone:620-896-7324
Mailing Address - Fax:620-896-7186
Practice Address - Street 1:3122 N CYPRESS ST STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4014
Practice Address - Country:US
Practice Address - Phone:316-684-5257
Practice Address - Fax:316-684-9369
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS139539363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily