Cynthia Elaine Aeby, DOM, LAC
Individual provider Active NPI Acupuncturist · Albuquerque, NM
NPI 1487981114 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1487981114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- DOM23001 (NM)
- Practice address
- 2509 Vermont St NE Ste A2
Albuquerque, NM 87110-4600 - Phone
- (505) 266-2606
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOM23001 | NM | MD | Acupuncturist |
| AC00990 | TX | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | DOM23001 | NM | Yes |
| Acupuncturist | 171100000X | AC00990 | TX |
Addresses
Primary practice location
2509 Vermont St NE Ste A2
Albuquerque, NM 87110-4600
Mailing address
12324 Candelaria Rd NE Apt 2
Albuquerque, NM 87112-2158
Phone (512) 431-2287
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All providers in Albuquerque, NM · Acupuncturist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.