MEDICARE: CYNTHIA A NEGRETE

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1396042131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA A NEGRETE

Provider Business Mailing Address
First Line	:	325 SW FRAZIER AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66606-1963
Country	:	US
Telephone Number	:	785-232-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 NE CHANDLER ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66616-1115
Country	:	US
Telephone Number	:	785-408-6652
Fax Number	:

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

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	02/14/2011

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Directions to “ CYNTHIA A NEGRETE ” Practice Location

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