Cynthia Colson

Individual provider Active NPI Registered Nurse · Bloomfield, NM

NPI 1871040196 · NPPES record last updated Sep 2, 2016

Key facts

NPI
1871040196
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R45725 (NM)
Practice address
325 N Bergin LN
Bloomfield, NM 87413-6729
Phone
(505) 632-4389
Fax
(505) 213-0007
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R45725NMMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R45725 NM Yes

Addresses

Primary practice location

325 N Bergin LN
Bloomfield, NM 87413-6729

Mailing address

325 N Bergin LN
Bloomfield, NM 87413-6729
Phone (505) 632-4389

Other providers in Bloomfield, NM

All providers in Bloomfield, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.