MS. CYNTHIA ANN STAVISH MSN, AHCNS, APRN
NPI 1114674652
Clinical Nurse Specialist - Critical Care Medicine in Saint Paul, MN

Active since March 04, 2022
5673 JENNI LN, SAINT PAUL, MN 55110(651) 208-9291(651) 340-5143 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Cynthia Ann Stavish Msn, Ahcns, Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CYNTHIA ANN STAVISH MSN, AHCNS, APRN (NPI 1114674652) is an individual critical care medicine provider in Saint Paul, Minnesota, licensed in Minnesota (522) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1114674652
Entity TypeIndividualFemale
Primary Taxonomy364SC0200X
Provider Legal NameMS. CYNTHIA ANN STAVISHCredential: MSN, AHCNS, APRN
Location Address5673 JENNI LNSaint Paul, MN 55110-5721
Mailing Address5673 Jenni LnSaint Paul, MN 55110-5721 · (651) 208-9291 · Fax (651) 340-5143
Fax(651) 340-5143
Sole ProprietorYes
Enumeration DateMarch 4, 2022
NPPES CertifiedMarch 4, 2022
NPI 1114674652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SC0200X
License Licensed in MN · 522
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License 522 (MN)
5673 JENNI LN, Saint Paul, MN 55110

Other Names 1

Former Name (1)Mrs. Cynthia Ann Lyczkowski Msn, Rn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Stavish's NPI number?

The NPI number for Cynthia Stavish is 1114674652. It was assigned to this individual provider in the NPPES registry on March 4, 2022. The provider is also known as Mrs. Cynthia Ann Lyczkowski Msn, Rn.

Where is Cynthia Stavish located?

Cynthia Stavish practices at 5673 Jenni Ln, Saint Paul, MN 55110. The listed phone number is (651) 208-9291.

What is Cynthia Stavish's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Critical Care Medicine, with taxonomy code 364SC0200X.

When was this NPI record last updated?

The NPPES record for Cynthia Stavish was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.