Healthcare Provider Details

I. General information

NPI: 1437749074
Provider Name (Legal Business Name): CYNTHIA LOUISE GIGLER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 01/18/2021
Certification Date: 12/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2474 INDIAN WELLS RD STE B
ALAMOGORDO NM
88310-3845
US

IV. Provider business mailing address

500 SUNDOWN AVE
ALAMOGORDO NM
88310-4173
US

V. Phone/Fax

Practice location:
  • Phone: 575-434-6000
  • Fax:
Mailing address:
  • Phone: 575-491-9318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number62491
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: