Provider Demographics
NPI:1053520817
Name:BURKHARDT, CINDY (DNP, RN, PMHNP)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:BURKHARDT
Suffix:
Gender:F
Credentials:DNP, RN, PMHNP
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:B
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3950 N. A.W. GRIMES BLVD
Mailing Address - Street 2:#N102
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:512-686-0207
Mailing Address - Fax:512-238-9295
Practice Address - Street 1:3950 N. A.W. GRIMES BLVD
Practice Address - Street 2:#N102
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-686-0207
Practice Address - Fax:512-238-9295
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX594646363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health