MEDICARE: MRS. CYNTHIA COLLEEN REINHARDT CFNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R51656	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	NM006E10	OTHER	NM	BCBS NM
3	2672558	OTHER		UHC
4	202043503	OTHER		PRESBYTERIAN HEALTH PLANS
5	810792340	OTHER		PHCS
6	QMYPR0072432	OTHER		MOLINA

General Provider Information

NPI Number	:	1043209364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA COLLEEN REINHARDT CFNP

Provider Business Mailing Address
First Line	:	455 SAINT MICHAELS DR
Second Line	:	MEDICAL STAFF OFFICE
City	:	SANTA FE
State	:	NM
Zip	:	87505-7601
Country	:	US
Telephone Number	:	505-820-5227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 HOSPITAL DR
Second Line	:	SUITE 240
City	:	SANTA FE
State	:	NM
Zip	:	87505-4728
Country	:	US
Telephone Number	:	505-820-5227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	12/11/2007

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