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NPI Code Detail

MEDICARE: CYNTHIA RYDZEWSKI FITZGERALD CRNA

MEDICARE: CYNTHIA RYDZEWSKI FITZGERALD CRNA
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
1367500000XCertified Registered Nurse AnesthetistCRNA000185NV

General Provider Information

NPI Number : 1770667081
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA RYDZEWSKI FITZGERALD CRNA
Provider Business Mailing Address
First Line : PO BOX 50794
Second Line :
City : HENDERSON
State : NV
Zip : 89016-0794
Country : US
Telephone Number : 702-228-0781
Fax Number : 702-933-4460
Provider Business Practice Location Address
First Line : 2615 BOX CANYON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0450
Country : US
Telephone Number : 702-228-0781
Fax Number : 702-933-4460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 12/05/2007

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