Healthcare Provider Details

I. General information

NPI: 1427038942
Provider Name (Legal Business Name): CYNTHIA B MEKLER CRNA, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 PLEASANT ST SUITE 105 B EYE ANESTHESIA OF CONCORD
CONCORD NH
03301-2548
US

IV. Provider business mailing address

246 PLEASANT ST SUITE 105 B EYE ANESTHESIA OF CONCORD
CONCORD NH
03301-2548
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-6503
  • Fax:
Mailing address:
  • Phone: 603-224-6503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number030952 23 11
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: